SPECT/CT of axillofemoral graft infection
| Autor: | Hashim Al-Gailani, Stephanie Chen, Heather Biggs, Smeer Aggarwal, Nicolas Urriola, Allen Lee, Robert Mansberg |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Aortic arch
Graft Rejection medicine.medical_specialty Prosthesis-Related Infections medicine.artery Rare case medicine Leukocytes Humans Radiology Nuclear Medicine and imaging Femur Aged Lateral chest wall Tomography Emission-Computed Single-Photon Vascular disease business.industry General Medicine medicine.disease Saccular aneurysm Right axilla surgical procedures operative Graft infections Axilla Female Radiology business Tomography X-Ray Computed Vascular graft |
| Zdroj: | Clinical nuclear medicine. 33(5) |
| ISSN: | 0363-9762 |
| Popis: | A 73-year-old woman was admitted to the hospital via the emergency room with increasing pain and tenderness in the right axilla and high fevers. She had a long history of peripheral vascular disease with multiple graft failures and recent insertion of a right axillofemoral graft. A computed tomography study of the chest obtained at admission confirmed graft patency and a small fluid collection around the graft at the level below the right axilla. It also confirmed a saccular aneurysm of the aortic arch. A SPECT/CT study of the chest at 3 hours after reinjection of autologous leukocytes labeled with Tc-99m showed intense labeled leukocyte uptake around the vascular graft in the lateral chest wall. Culture of the infected tissue around the excised graft grew Staphylococcus aureus sensitive to all tested antibiotics. Vascular graft infections are rare, with few reported cases of axillofemoral graft infections utilizing Ga-67. Labeled leukocytes have been used successfully in the setting together with CT scanning. This is a rare case of labeled leukocyte uptake in an infected axillofemoral graft by SPECT/CT. |
| Databáze: | OpenAIRE |
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