Author/Authors :
Rager, Olivier University Hospital of Geneva - Clinic of Nuclear Medicine - Geneva, Switzerland , Garibotto, Valentina University Hospital of Geneva - Clinic of Nuclear Medicine - Geneva, Switzerland , Amzalag, Gaël University Hospital of Geneva - Clinic of Nuclear Medicine - Geneva, Switzerland , Picarra, Marlise University Hospital of Geneva - Clinic of Radiology - Geneva, Switzerland , Astrinakis, Emmanouil University Hospital of Geneva - Clinic of Radiology - Geneva, Switzerland
Abstract :
A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus. An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An 18F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia. Fever and CRP responded rapidly to antibiotherapy.
Keywords :
prostatitis , sports hernia , athletic pubalgia , PET/CT , magnetic resonance imaging
