Diagnosis of silent myocardial ischemia during the staging of HIV-associated lymphoma with FDG PET/CT.
Fasting 18F fluoro-deoxy-glucose positron emission tomography examinations are routinely performed for the staging of HIV-associated lymphomas. In addition to possible comorbidity factors, the chronic inflammation that occurs in HIV-infected patients together with the metabolic side effects of antiretroviral therapy increases the risk for coronary artery disease. Moreover, HIV-infected patients are likely to develop polyneuropathies due to the viral infection or to the side effects of long-term protease or nucleoside reverse transcription inhibitor treatments.We report a case that illustrates the need to suspect the diagnosis of silent myocardial ischemia among HIV-positive patients with myocardial F-18 fluoro-deoxy-glucose uptake involving a coronary artery territory.
Mariano-Goulart
Denis
D
Department of Nuclear Medicine, Lapeyronie University Hospital, Montpellier Cedex 5, France. d-mariano_goulart@chu-montpellier.fr
Ilonca
Diana
D
Bourdon
Aurélie
A
D019788:Fluorodeoxyglucose F18; D015658:HIV Infections / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008223:Lymphoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications* / Q000000981:diagnostic imaging*; D009367:Neoplasm Staging; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
D019788:Fluorodeoxyglucose F18