18F-FDG whole-body PET/CT for the evaluation of suspected native valve infective endocarditis.

Shihan Chen, Noah Ben-Ezra, Stephan Probst, Gad Abikhzer
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Abstract

18F-FDG-PET/CT is indicated in the workup of patients with suspected infective endocarditis to detect intra-cardiac and disseminated infections, as well as its source. We present the case of a 66-year-old female patient known for recurrent diabetic foot infection, with equivocal TTE results and persistent MRSA bacteremia despite medical management. PET/CT revealed evidence of left foot osteomyelitis. Whole body PET/CT diagnosed native mitral valve infective endocarditis (IE) and right lower lobe segmental pulmonary artery uptake, consistent with septic pulmonary embolism (PE).

18F-FDG 全身 PET/CT 用于评估疑似原发性瓣膜感染性心内膜炎。
18F-FDG-PET/CT 适用于疑似感染性心内膜炎患者的检查,以检测心内感染和播散性感染及其来源。我们报告了一例 66 岁女性患者的病例,她因反复糖尿病足感染而闻名,TTE 结果不明确,尽管接受了药物治疗,但仍持续存在 MRSA 菌血症。PET/CT 显示左足骨髓炎的证据。全身 PET/CT 诊断为原发性二尖瓣感染性心内膜炎(IE)和右下叶节段性肺动脉摄取,与化脓性肺栓塞(PE)一致。
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