Abstract
A 57-year-old woman had a history of rheumatic heart disease after mitral valve replacement, afternoon chills and fever for 3 weeks, and weight loss of 12 kg in 1 month. She underwent a gallium scan and subsequently an F-18 FDG PET study. A gallium scan revealed vague uptake in bilateral neck, axillary, and hilar lymph nodes; and the spleen. F-18 FDG PET showed increased uptake in the bilateral neck, axillary, and hilar lymph nodes; the spleen; and the left inguinal, right external and common iliac and para-aortic lymph nodes. However, mycobacterium tuberculosis growth was found in the sputum culture. After antituberculosis treatment for 3 months, a repeat FDG PET scan showed remission of most of the lesions.
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