Malaria masquerading as relapse of Hodgkin's lymphoma on contrast enhanced (18)F-fluorodeoxyglucose positron emission tomography/computed tomography: A diagnostic dilemma.
(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.
Department of Nuclear Medicine and PET-CT, Diwan Chand Satyapal Aggarwal Imaging and Research Center, New Delhi, India.
Sunil
S
Jeph
Department of Nuclear Medicine and PET-CT, Diwan Chand Satyapal Aggarwal Imaging and Research Center, New Delhi, India.
Kamia
K
Thakur
Department of Nuclear Medicine and PET-CT, Diwan Chand Satyapal Aggarwal Imaging and Research Center, New Delhi, India.
Shamim Ahmed
SA
Shamim
Department of Nuclear Medicine and PET-CT, Diwan Chand Satyapal Aggarwal Imaging and Research Center, New Delhi, India.
Ajay
A
Aggarwal
18F-Flurodeoxyglucose; lymphoma; malaria; positron emission tomography/computed tomography; spleen