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

Olivier Rager | Zendy; Marlise Picarra | Zendy; Emmanouil Astrinakis | Zendy; Valentina Garibotto | Zendy; Gaël Amzalag | Zendy

Open Access

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

Author(s) -

Olivier Rager,

Marlise Picarra,

Emmanouil Astrinakis,

Valentina Garibotto,

Gaël Amzalag

Publication year - 2018

Publication title -

molecular imaging and radionuclide therapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.292

H-Index - 7

eISSN - 2147-1959

pISSN - 2146-1414

DOI - 10.4274/mirt.19484

Subject(s) - medicine , pubic symphysis , symphysis , nuclear medicine , osteomyelitis , prostatitis , abscess , gynecology , prostate , radiology , surgery , pelvis , cancer

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 18 F-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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