Q Fever With Lymphadenopathy on F-18 FDG PET

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A 22-year-old woman with a high fever of unknown origin underwent PET imaging that demonstrated intense uptake in a swollen abdominal lymph node. After treatment with antibiotics consisting of doxycycline and rifampicin, the fever went down and both the size and uptake in the lymph node also decreased. Later, the patient was serologically diagnosed to have acute Q fever. This report indicates that FDG PET/CT may be useful for identifying lymphadenopathy because of Q fever.

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