Key result
18F-FDG PET/CT and cardiac MRI successfully diagnosed a left ventricular infected thrombus in a patient with disseminated Staphylococcus infection after transesophageal echocardiography was unrevealing.
Why the study?
Can 18F-FDG PET/CT and cardiac MRI detect left ventricular infected thrombus in a patient with disseminated Staphylococcus infection when transesophageal echocardiography is negative?
Case Report (n=1)
Can 18F-FDG PET/CT and cardiac MRI detect left ventricular infected thrombus in a patient with disseminated Staphylococcus infection when transesophageal echocardiography is negative?
18F-FDG PET/CT and cardiac MRI can be valuable for detecting rare cardiac complications like left ventricular infected thrombus in disseminated infections when standard echocardiography is unrevealing.
May identify infected LV thrombus missed by TEE; leaves open whether routine advanced imaging alters outcomes in staphylococcal bacteremia.
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.
No takes yet. Share an insight, caveat, or question.
Vicente et al. (2020) conducted a case report in Disseminated Staphylococcus infection with left ventricular infected thrombus (n=1). 18F-FDG PET/CT and cardiac MRI vs. Transesophageal echocardiography was evaluated on Detection of left ventricular infected thrombus. 18F-FDG PET/CT and cardiac MRI successfully diagnosed a left ventricular infected thrombus in a patient with disseminated Staphylococcus infection after transesophageal echocardiography was unrevealing.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: