E-ISSN: 2147-1959
Incidental <sup>18</sup>F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis
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VOLUME: 27 ISSUE: 3
P: 133-135
October 2018

Incidental 18F-FDG Uptake of the Pubic Ramus and Abdominal Muscles due to Athletic Pubalgia During Acute Prostatitis

Mol Imaging Radionucl Ther 2018;27(3):133-135
DOI: 10.4274/mirt.19484
Olivier Rager 1
Marlise Picarra 2
Emmanouil Astrinakis 2
Valentina Garibotto 1
Gaël Amzalag 1
1. University Hospital of Geneva, Clinic of Nuclear Medicine, Geneva, Switzerland
2. University Hospital of Geneva, Clinic of Radiology, Geneva, Switzerland
No information available.
No information available
Received Date: 27.11.2017
Accepted Date: 10.03.2018
Publish Date: 09.10.2018
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ABSTRACT

A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus. An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An 18F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia. Fever and CRP responded rapidly to antibiotherapy.

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