Pacemaker-related infection detected by 18F-fluorodeoxyglucose positron emission tomography–computed tomography

Lead endocarditis (LE) is one of the most feared complications and remains a challenging diagnosis in cardiology due to the possibility of an obscure clinical course and symptoms, leading to a delayed diagnosis, or even no diagnosis. 18F-fluorodeoxyglucose positron emission tomography–computed tomog...

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Bibliographic Details
Published inInternational journal of infectious diseases Vol. 19; pp. 87 - 90
Main Authors de Lima Peixoto, Giselle, Siciliano, Rinaldo Focaccia, Camargo, Raphael Abegão, Bueno, Fabiana Lucas, Júnior, José Soares, Costa, Roberto, Strabelli, Tânia Mara Varejão, Filho, Martino Martinelli
Format Journal Article
LanguageEnglish
Published Elsevier Ltd 01.02.2014
Subjects
Endocarditis
FDG-PET
Infection
Pacemaker
FDG-PET
Infection
Pacemaker
Endocarditis
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Summary:Lead endocarditis (LE) is one of the most feared complications and remains a challenging diagnosis in cardiology due to the possibility of an obscure clinical course and symptoms, leading to a delayed diagnosis, or even no diagnosis. 18F-fluorodeoxyglucose positron emission tomography–computed tomography (FDG PET/CT) appears to be a valuable imaging technique and has been shown to have advantages in the diagnosis of patients with fever of unknown origin. We present the case of a 52-year-old man with a 3-year history of intermittent fever, chills, anemia, and weight loss (13kg). He was submitted to an extensive investigation to clarify his symptoms and all results were negative. LE was finally diagnosed by FDG PET/CT. This examination could become a useful noninvasive method for the detection of LE at an earlier stage, thus avoiding repeated tests and reducing the length of hospital stay.
ISSN:1201-9712
1878-3511
DOI:10.1016/j.ijid.2013.10.011