Case Report: Utility of brain [18F]FDG PET/CT in the diagnosis of Sydenham's chorea

Sydenham's chorea is an autoimmune reaction against cerebral basal ganglia associated with rheumatic fever, caused by group A beta-hemolytic streptococcus infection. Diagnosis of this condition is difficult because of significant delay between infection onset and symptoms presentation, resulting in few positive biological tests or imaging exams. We report the case of a nine-year-old boy exhibiting hemicorporal abnormal movements with tics for whom [<sup>18</sup>F]FDG PET/CT exam allowed to make the diagnosis, associated with anti-DNase B elevation. Other biology, spinal tap, EEG and imaging modality like MRI or scanner, were non-contributory.

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Journal
Frontiers in Nuclear Medicine
Published
2024-12-24
DOI
https://doi.org/10.3389/fnume.2024.1527150
Primary Topic
Obsessive-Compulsive Spectrum Disorders
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article
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article

Case Report: Utility of brain [18F]FDG PET/CT in the diagnosis of Sydenham's chorea

Franck Lacœuille, Kévin Cohen Tannugi, C. Boursot, J. Reichart et al.
Frontiers in Nuclear Medicine
Obsessive-Compulsive Spectrum Disorders
article

Case Report: Utility of brain [18F]FDG PET/CT in the diagnosis of Sydenham's chorea

Franck Lacœuille, Kévin Cohen Tannugi, C. Boursot, J. Reichart, Abel Dambrain
article en

Abstract

Sydenham's chorea is an autoimmune reaction against cerebral basal ganglia associated with rheumatic fever, caused by group A beta-hemolytic streptococcus infection. Diagnosis of this condition is difficult because of significant delay between infection onset and symptoms presentation, resulting in few positive biological tests or imaging exams. We report the case of a nine-year-old boy exhibiting hemicorporal abnormal movements with tics for whom [<sup>18</sup>F]FDG PET/CT exam allowed to make the diagnosis, associated with anti-DNase B elevation. Other biology, spinal tap, EEG and imaging modality like MRI or scanner, were non-contributory.

Frontiers in Nuclear MedicineVol. 4
Centre National de la Recherche Scientifique (FR), Inserm (FR), Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes Angers (FR), Centre Hospitalier du Mans (FR), Université d'Angers (FR)
Good health and well-being
Openalex Percentile: Top 65%
Obsessive-Compulsive Spectrum Disorders
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Case Report: Utility of brain [18F]FDG PET/CT in the diagnosis of Sydenham's chorea — Franck Lacœuille, Kévin Cohen Tannugi, et al. · Frontiers in Nuclear Medicine (2024) | TGRS Research Map | TGRS