From the *Unité de Médecine Nucléaire, Institut Jean Godinot, Reims; †Service de Médecine Nucléaire, and ‡Service de Transplantation Cardiaque Adulte, Centre Chirurgical Marie Lannelongue, Le Plessis-Robinson; and §Laboratoire de Biophysique, UFR de Médecine, and ∥CRESTIC Centre de Recherche en Sciences et Technologies de l'Information et de la Communication, Université de Reims-Champagne Ardenne, Reims, France.
Clin Nucl Med. 2017 Sep;42(9):695-696. doi: 10.1097/RLU.0000000000001736.
We report a case of a 59-year-old man who presented with fever, sepsis, and left cervicothoracic cutaneous inflammation 13 months after implantation of Jarvik 2000 device. Device infection was suspected and F-FDG PET/CT showed an intense and homogeneous uptake along driveline cable. Bacteriological local sample showed Staphylococcus aureus. After adapted antibiotherapy, control F-FDG PET/CT displays treatment efficacy with no residual uptake in driveline. F-FDG PET/CT could be an important tool for early noninvasive detection of left ventricular assist device infection and monitoring antibiotherapy response.
我们报告了一例 59 岁男性患者，在植入 Jarvik 2000 装置 13 个月后出现发热、脓毒症和左颈胸皮肤炎症。怀疑为器械感染，F-FDG PET/CT 显示沿导线缆有强烈和均匀的摄取。细菌学局部样本显示金黄色葡萄球菌。经过适应性抗生素治疗后，对照 F-FDG PET/CT 显示治疗效果，导线缆中无残留摄取。F-FDG PET/CT 可能是早期无创检测左心室辅助装置感染和监测抗生素治疗反应的重要工具。
