18F-FDG PET/CT 和 MRI 检测到弥漫性金黄色葡萄球菌感染的左心室感染性血栓。
Left Ventricular Infected Thrombus Detected by 18F-FDG PET/CT and MRI in Disseminated Staphylococcus Infection.
机构信息
From the Nuclear Medicine Department. Hospital General Universitario de Ciudad Real, Ciudad Real.
Radiology Department.
出版信息
Clin Nucl Med. 2020 Dec;45(12):957-959. doi: 10.1097/RLU.0000000000003301.
We present the case of a 61-year-old woman with fever and acute meningitis. Clinical evaluation revealed maculopapular rash, right gluteus cellulitis, and centered retinal hemorrhages. In the intensive care unit, persistent Staphylococcus bacteremia was detected. However, transesophageal echocardiography did not reveal pathologic features. F-FDG PET/CT and cardiac MRI diagnosed a left ventricular infected thrombus, an extremely rare condition especially in patients without structural cardiopathy.
我们报告了一例 61 岁女性发热伴急性脑膜炎。临床评估显示斑丘疹、右臀肌蜂窝织炎和视网膜中央出血。在重症监护病房，持续检测到金黄色葡萄球菌菌血症。然而，经食管超声心动图未发现病理特征。18F-FDG PET/CT 和心脏 MRI 诊断为左心室感染性血栓，这是一种极其罕见的情况，尤其是在无结构性心脏病的患者中。
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