Bistra Dobreva-Yatseva, Fedya Nikolov, Ralitsa Raycheva, Albena Botushanova, Maria Koleva, Mariya Tokmakova
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Diagnostic benefits of 18F-FDG PET/CT in cases of prosthetic infective endocarditis
Infective endocarditis (IE) is a difficult-to-diagnose provocative disease that causes significant morbidity and mortality. The first-line imaging test for the diagnosis of IE is echocardiography. However, in cases of prosthetic IE or IE associated with intracardiac devices, its sensitivity is limited. A new diagnostic tool, 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET/CT), improves diagnosis in these difficult cases. The most recent European guidelines for IE (2015) include this imaging modality as a primary diagnostic criterion. We present a case of culture-negative prosthetic IE diagnosed with 18F-FDG PET/CT.
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