title: Lymphadenopathy by Scrub Typhus Mimicking Metastasis on FDG PET/CT in a Patient with a History of Breast Cancer.
abstract: We report the case of a 60-year-old woman with left-sided breast cancer who showed lymphadenopathy mimicking metastatic lesions. She underwent surveillance (18)F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) after treatment. PET/CT demonstrated multiple lymphadenopathies with increased FDG uptake, most notably in the right axilla. She had an eschar on the right axillary area, and her serologic test was positive for anti-Orientia tsutsugamushi IgM antibody. Ten months after the treatment, follow-up FDG PET/CT and ultrasonography showed improvement in generalized lymphadenopathy.
authors.affiliation: Department of Nuclear Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, Korea.
authors.forename: Jeong Won
authors.initials: JW
authors.lastname: Lee
authors.affiliation: Department of Nuclear Medicine, Sooncheonhyang University Cheonan Hospital, 23-20 Byeongmyeong-dong, Dongnam-gu, Cheonan, Chungcheongnam-do Republic of Korea 330-721.
authors.forename: Sang Mi
authors.initials: SM
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Sooncheonhyang University Cheonan Hospital, Cheonan, Republic of Korea.
authors.forename: Kyu Taek
authors.initials: KT
authors.lastname: Lee
authors.affiliation: Department of Surgery, Sooncheonhyang University Cheonan Hospital, Cheonan, Republic of Korea.
authors.forename: Sung Young
authors.initials: SY
authors.lastname: Kim
authors.affiliation: Department of Surgery, Sooncheonhyang University Cheonan Hospital, Cheonan, Republic of Korea.
authors.forename: Sun Wook
authors.initials: SW
authors.lastname: Han
authors.affiliation: Department of Radiology, Sooncheonhyang University Cheonan Hospital, Cheonan, Republic of Korea.
authors.forename: Shin Young
authors.initials: SY
authors.lastname: Kim
keywords: 18F-fluorodeoxyglucose; Lymphadenopathy; PET; Scrub typhus