68Ga-PSMA Uptake in Escherichia coli Spondylodiscitis

Clin Nucl Med. 2019 Nov;44(11):916-919. doi: 10.1097/RLU.0000000000002752.

Abstract

In a patient with recently diagnosed intermediate-risk prostate cancer, Ga-prostate-specific-membrane-antigen (PSMA) PET/CT for primary staging discovered increased Ga-PSMA uptake in spondylodiscitis in the thoracic spine. The bacteria Escherichia coli was found both in blood cultures and bone biopsies from the thoracic lesion. This case presents spondylodiscitis as a potential benign pitfall to be aware of when interpreting PSMA PET/CT in prostate cancer patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biological Transport
  • Discitis / complications
  • Discitis / diagnostic imaging
  • Discitis / metabolism*
  • Discitis / microbiology*
  • Escherichia coli / physiology*
  • Gallium Isotopes
  • Gallium Radioisotopes
  • Humans
  • Image Interpretation, Computer-Assisted
  • Male
  • Membrane Glycoproteins / metabolism*
  • Organometallic Compounds / metabolism*
  • Positron Emission Tomography Computed Tomography
  • Prostatic Neoplasms / complications

Substances

  • Gallium Isotopes
  • Gallium Radioisotopes
  • Membrane Glycoproteins
  • Organometallic Compounds
  • gallium 68 PSMA-11