不明原因发热的小儿心脏移植术后真菌感染的诊断：Tc-UBI SPECT/CT和F-FDG PET/CT的作用
Diagnosis of Fungal Infection () After Heart Transplantation in a Pediatric Case with Fever of Unknown Origin: Role of Tc-UBI SPECT/CT and F-FDG PET/CT.
作者信息
Malek Hadi, Hedayati Raheleh, Maghsudi Mahdi, Yaghoobi Nahid
机构信息
Cardiovascular Interventional Research Center, Department of Nuclear Medicine, Rajaei Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Nuclear Medicine, Hazrate Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Nucl Med Mol Imaging. 2023 Jun;57(3):155-158. doi: 10.1007/s13139-022-00781-3. Epub 2022 Nov 2.
Abstract
The diagnosis of patients with fever of unknown origin (FUO) in pediatric heart transplantation is a challenging medical problem. The physician should differentiate between rejections, infections, malignancy, adrenal insufficiency, and drug fever. Immunosuppressive therapy in these patients exposes them to a high risk of developing a post-transplantation fungal infection. In this case, we discuss the diagnostic contribution of the Tc-UBI scan and F-FDG PET scan for diagnosis of fungal infection causing FUO in these patients.
摘要
小儿心脏移植中不明原因发热（FUO）患者的诊断是一个具有挑战性的医学问题。医生应区分排斥反应、感染、恶性肿瘤、肾上腺功能不全和药物热。这些患者的免疫抑制治疗使他们面临发生移植后真菌感染的高风险。在本病例中，我们讨论了Tc-UBI扫描和F-FDG PET扫描对诊断这些患者中导致FUO的真菌感染的诊断价值。
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