Tubercular Spondylitis: A Rare Complication of BCGosis Masquerading as Metastasis on 18F-PSMA-1007 PET/CT. (12th March 2022)

• Record Type: Journal Article
• Authors: Bohil, Amit; Seshadri, Nagabhushan; Rathi, Nitika; Fernando, Rashika; Vinjamuri, Sobhan
• Is Part Of: Clinical nuclear medicine. Volume 47:Number 3(2022)
• Page Start: e254
• Page End: e256
• Publication Date: 2022-03-12
• Subjects: BCGosis -- Schmorl node -- PSMA PET/CT -- tubercular spondylitis -- prostate cancer; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000003989
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract: BCGosis is a rare complication of intravesical BCG immunotherapy as adjuvant therapy for urinary bladder cancer manifesting in the form of disseminated tuberculosis or organ-specific tuberculosis, rarely involving the vertebra. PSMA is overexpressed in prostate cancer but also expressed in a variety of benign and malignant conditions. We present a patient with incidental detection of abnormal uptake in a vertebral lesion during assessment of prostate cancer with 18 F-PSMA PET/CT, subsequently proven to be vertebral osteitis, likely due to BCG immunotherapy. The case highlights the role of interdisciplinary patient assessment to confirm nature of abnormal foci on 18 F-PSMA PET/CT.