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18F-FDG whole-body PET/CT for the evaluation of suspected native valve infective endocarditis

  • Shihan Chen,
  • Noah Ben-Ezra,
  • Stephan Probst,
  • Gad Abikhzer

摘要

18F-FDG-PET/CT is indicated in the workup of patients with suspected infective endocarditis to detect intra-cardiac and disseminated infections, as well as its source. We present the case of a 66-year-old female patient known for recurrent diabetic foot infection, with equivocal TTE results and persistent MRSA bacteremia despite medical management. PET/CT revealed evidence of left foot osteomyelitis. Whole body PET/CT diagnosed native mitral valve infective endocarditis (IE) and right lower lobe segmental pulmonary artery uptake, consistent with septic pulmonary embolism (PE).