Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever

Camila Edith Stachera Stasiak; David Henrique Nigri; Fabricius Rocha Cardoso; Raphael Santos de Almeida Rezende de Mattos; Philippe Alcantara Goncalves Martins; Alysson Roncally Silva Carvalho; Sergio Altino de Almeida; Rosana Souza Rodrigues; Paulo Henrique Rosado-de-Castro

doi:10.4269/ajtmh.20-0952

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Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever

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Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever

Camila Edith Stachera Stasiak, David Henrique Nigri, Fabricius Rocha Cardoso, Raphael Santos de Almeida Rezende de Mattos, Philippe Alcantara Goncalves Martins, Alysson Roncally Silva Carvalho, Sergio Altino de Almeida, Rosana Souza Rodrigues and Paulo Henrique Rosado-de-Castro

The American journal of tropical medicine and hygiene, Vol.104(5), pp.1651-1654

04/02/2021

DOI: 10.4269/ajtmh.20-0952

PMCID: PMC8103480

PMID: 33798100

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Abstract

This is a case report of a 37-year-old woman evaluated with 18F-fludeoxyglucose (18F-FDG) positron emission computed tomography/CT with recurrent fever after treatment with itraconazole for 6 weeks for histoplas-mosis. The examination demonstrated a decrease in the dimensions of the pulmonary opacities previously identified in the left lower lobe and attributed to histoplasmosis. In addition to these pulmonary opacities, increased FDG uptake was also observed in lymph nodes present in the cervical region, mediastinum, left lung hilum, and hepatic hilum. Notably, other pulmonary opacities with ground-glass pattern that were not present in the previous computed to-mography were detected in the right lower lobe, with mild 18F-FDG uptake. Nasal swab performed shortly after the examination was positive for COVID-19. In this case, the 18F-FDG positron emission computed tomography/CT study demonstrated findings consistent with active COVID-19 infection coexisting with inflammatory changes associated with histoplasmosis infection.

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Science & Technology

Tropical Medicine

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Title: Subtitle: Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever
Creators: Camila Edith Stachera Stasiak - DOr Inst Res & Educ, Dept Radiol, Botafogo, RJ, Brazil
David Henrique Nigri - Hospital Samaritano de São Paulo
Fabricius Rocha Cardoso - D’Or Institute for Research and Education
Raphael Santos de Almeida Rezende de Mattos - Univ Fed Rio de Janeiro, Dept Radiol, Rio De Janeiro, Brazil
Philippe Alcantara Goncalves Martins - Univ Fed Rio de Janeiro, Dept Radiol, Rio De Janeiro, Brazil
Alysson Roncally Silva Carvalho - Unidade de Investigação e Desenvolvimento Cardiovascular
Sergio Altino de Almeida - D’Or Institute for Research and Education
Rosana Souza Rodrigues - Universidade Federal do Rio de Janeiro
Paulo Henrique Rosado-de-Castro - D’Or Institute for Research and Education
Resource Type: Journal article
Publication Details: The American journal of tropical medicine and hygiene, Vol.104(5), pp.1651-1654
DOI: 10.4269/ajtmh.20-0952
PMID: 33798100
PMCID: PMC8103480
NLM abbreviation: Am J Trop Med Hyg
ISSN: 0002-9637
eISSN: 1476-1645
Publisher: Amer Soc Trop Med & Hygiene
Number of pages: 4
Language: English
Date published: 04/02/2021
Academic Unit: Radiology
Record Identifier: 9985143552002771

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