Quirce R, Serano J, Arnal C, Banzo I, Carril J M
Servicio de Medicina Nuclear, Hospital Nacional Marques de Valdecilla, Faculty of Medicine, Santander, Spain.
J Nucl Med. 1991 May;32(5):860-1.
We report the findings of a patient with post-cardiac transplant mediastinitis detected by 67Ga-citrate imaging. Fever and leukocytosis were the first clinical signs suggesting infection. The usual diagnostic modalities, including CT and ultrasound, failed to identify the site of infection. A 67Ga scan showed intense abnormal uptake behind the sternum. The site of uptake was shown by necropsy to be necrotic tissue involving cardiac sutures, pulmonary arteries, and the aorta due to infection with Haemophilus aphrophilus.
我们报告了一例心脏移植术后纵隔炎患者的病例，该病例通过枸橼酸镓成像得以确诊。发热和白细胞增多是提示感染的最初临床症状。包括CT和超声在内的常规诊断方法均未能确定感染部位。一次镓扫描显示胸骨后有强烈的异常摄取。尸检显示摄取部位为因嗜沫嗜血杆菌感染而累及心脏缝线、肺动脉和主动脉的坏死组织。
