18F-FDG PET/CT in Hodgkin Lymphoma With Unsuspected COVID-19.

Clinical Nuclear Medicine
Xavier L E Boulvard CholletRoberto C Delgado Bolton

Abstract

We present an asymptomatic 70-year-old man referred for an F-FDG PET/CT for initial staging of a Hodgkin lymphoma. F-FDG PET/CT showed bilateral cervical lymphadenopathy (stage II). Incidentally, the CT demonstrated bilateral ground-glass opacities with low-grade F-FDG activity. CT findings were suspicious for COVID-19 pneumonitis. The COVID-19 reverse transcriptase polymerase chain reaction (RT-PCR) examination result was negative. Given the high clinical suspicion for COVID-19, the patient was isolated and repeat RT-PCR was positive at 72 hours. RT-PCR may be falsely negative in early COVID-19 disease, even with positive CT findings.

References

Dec 3, 2014·European Journal of Nuclear Medicine and Molecular Imaging·Ronald BoellaardUNKNOWN European Association of Nuclear Medicine (EANM)
Jan 25, 2020·The New England Journal of Medicine·Stanley Perlman
Feb 8, 2020·JAMA : the Journal of the American Medical Association·Dawei WangZhiyong Peng
Feb 24, 2020·European Journal of Nuclear Medicine and Molecular Imaging·Chunxia QinXiaoli Lan
Feb 29, 2020·European Journal of Nuclear Medicine and Molecular Imaging·Xi XuJinxin Liu
Mar 4, 2020·Nature Microbiology·UNKNOWN Coronaviridae Study Group of the International Committee on Taxonomy of Viruses

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Citations

Sep 17, 2020·European Journal of Nuclear Medicine and Molecular Imaging·Antonio Cabrera VillegasRoberto C Delgado Bolton
Mar 27, 2021·European Journal of Nuclear Medicine and Molecular Imaging·Roberto C Delgado BoltonFrancesco Giammarile
Apr 6, 2021·Frontiers in Oncology·Ipek Yonal-HindilerdenMeliha Nalcaci

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