Open Access
Malaria masquerading as relapse of Hodgkin′s lymphoma on contrast enhanced18F-fluorodeoxyglucose positron emission tomography/computed tomography: A diagnostic dilemma
Author(s) -
Sunil Jeph,
Kalpna Thakur,
Shamim Ahmed Shamim,
Ajay Aggarwal
Publication year - 2014
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/0972-3919.130299
Subject(s) - medicine , positron emission tomography , lymphoma , fluorodeoxyglucose , positron emission tomography computed tomography , radiology , computed tomography , pet ct , nuclear medicine , malaria , pathology
(18)Flurodeoxyglucose ((18)F-FDG) positron emission tomography/computed tomography (PET/CT) is nowadays routinely used in management of lymphoma patients. We here present a case of Hodgkin's lymphoma which showed (18)F-FDG avid splenomegaly on PET/CT done for clinically suspected relapse. Further evaluation by peripheral smear examination revealed malaria. The patient was then started on anti-malarial medications and follow-up PET/CT revealed resolution of hypermetabolic splenomegaly. This report highlights that in endemic regions malaria can cause (18)F-FDG avid splenomegaly and might mimic relapse of lymphoma.