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Schönfeld Christian C Diagnostic and Interventional Radiology, Hannover Medical School, Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research, Hannover, - - 2014
To evaluate the test performance of perfusion-weighted Fourier-decomposition (pw-FD) magnetic resonance imaging (MRI) in comparison to dynamic contrast-enhanced (DCE)-MRI as a reference standard in patients with known or suspected chronic pulmonary embolism (PE). In 64 patients, chronic PE was ruled out or confirmed by DCE-MRI using a time-resolved angiography with ...
Luna Brian B Johns Hopkins Center for Tuberculosis Research, Johns Hopkins University School of Medicine, Baltimore, MD - - 2014
Presence of cavitary lesions in tuberculosis patients poses a significant clinical concern due to the risk of infectivity and also due to the risk of antibiotic treatment failure. We describe 2 algorithms using non-invasive PET/CT imaging to predict the development of cavitary lesions in rabbits. Analysis of the PET region ...
Takebe Noriyoshi N Department of Neurosurgery, Tazuke Kofukai Medical Research Institute and Kitano Hospital, Osaka, - - 2014
An intramedullary spinal cord abscess, which is usually associated with discitis, is an uncommon but potentially important complication of vertebral osteomyelitis. The authors describe a rare case of an intramedullary conus medullaris abscess and lumbar osteomyelitis sparing the intervertebral discs and without discitis. The patient also developed a granuloma in ...
Franquet Elisa E aDivision of Nuclear Medicine and Molecular Imaging, Department of Radiology bDivision of Gastroenterology, Department of Medicine cDivision of Hematology and Oncology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA dDepartment of Medicine, Universidad Autónoma de Barcelona (UAB), Barcelona, - - 2014
Identification of cancer or inflammatory bowel disease in the intestinal tract by PET/computed tomography (CT) imaging can be hampered by physiological uptake of F-fluorodeoxyglucose (F-FDG) in the normal colon. Previous work has localized this F-FDG uptake to the intestinal lumen, predominantly occupied by bacteria. We sought to determine whether pretreatment ...
Jang Chul Ho CH Department of Otolaryngology, Chonnam National University Medical School, Gwawngju, Republic of Korea - - 2014
Background: Extrdural granulation or abscess is a possible complication of chronic suppurative otitis media (CSOM) with cholesteatoma. However, due to development of newer antibiotics and advances in bacteriology and imaging techniques, the incidence of extradural granulation or abscess has significantly decreased. The present study analyzed the clinical presentation, imaging findings, ...
de Lijster Manou S MS Department of Radiology, Academic Medical Centre, Meibergdreef 9, 1105AZ, Amsterdam, The Netherlands, - - 2014
A 16-year-old girl being treated for a relapse of promyelocytic leukaemia developed typhlitis of the caecum and ascending colon related to Klebsiella septicaemia during the neutropenic phase, 2 weeks after the start of induction treatment with chemotherapy. After 10 days of treatment with parenteral feeding and antibiotics, massive rectal blood loss occurred, ...
Martin C A CA Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, Université d'Auvergne, CHU de Clermont-Ferrand, rue Montalembert, 63000 Clermont-Ferrand, - - 2014
This study was designed to analyse the contribution of CT scan to the management of retropharyngeal abscess in children and the place of CT-guided percutaneous aspiration as an alternative to surgical drainage. Retrospective study including 18 children with a mean age of 38months [range: 5-67months] presenting with retropharyngeal infection between 2006 ...
Horikawa Taemi T Animal Eye Center, Rocklin, CA (T.H.); Pittsburgh Veterinary Specialty and Emergency Center, Pittsburgh, PA (E.M.); and PetRays Veterinary Radiology Consultants, The Woodlands, TX (A.B.). - - 2014
A 13 mo old mixed-breed dog was referred for acute lateralized forebrain signs. MRI of the brain demonstrated abnormalities consistent with severe meningitis and subdural empyema secondary to a retrobulbar abscess. The dog's clinical signs improved with antibiotic therapy, and repeat imaging showed resolution of subdural fluid accumulation presumed to ...
Compes Paloma P Department of Neurosurgery, Timone Hospital, 264 rue Saint Pierre, 13385, Marseille, France, - - 2014
Septic cervical facet joints arthritis is a rare pathology, usually revealed by fever and neck pain. As symptoms may be indolent, a high index of suspicion needs to be maintained. Magnetic resonance imaging (MRI) is effective for early diagnostic, looking for local spread and guiding potential preoperative planning. We present ...
Ogul Hayri H From the Department of Radiology, Medical Faculty, Ataturk University, Erzurum, - - 2014
Ophthalmic vein thrombosis (OVT) is a rare condition occurring secondary to varied etiologies that commonly presents with proptosis, globe dystopia, ophthalmoplegia, periorbital edema, and occasionally diminished visual acuity. It may be related to inflammation of the orbit or paranasal sinuses.We herein report imaging findings of thrombosed superior and inferior ophthalmic ...
Vouillarmet J J Department of Endocrinology, Diabetes and - - 2014
Diabetic foot osteomyelitis is an important risk factor of lower limb amputation. Antibiotic therapy is often effective in preventing surgery. However, the duration of antibiotic therapy is difficult to define in the absence of a marker to diagnose osteomyelitis remission at the end of the treatment. In this study, we ...
Chan S K SK Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong - - 2014
We report the first case of a transnasal penetrating intracranial injury in Hong Kong by a chopstick. A 49-year-old man attempted suicide by inserting a wooden chopstick into his left nose and then pulled it out. The chopstick caused a transnasal penetrating brain injury, confirmed by contrast magnetic resonance imaging ...
Mansberg Robert R Nepean Hospital, Nuclear Medicine and PET, Penrith, Australia ; University Sydney, Discipline Imaging, Sydney, - - 2014
A 47-year-old male with a history of right sided orchidectomy for stage 1 seminoma 6 months previously, was referred for a FDG PET-CT scan for restaging of testicular cancer having experiencing left testicular discomfort. Abnormally increased glyoclytic metabolism of the left testis and the inferior scrotal sac was demonstrated on ...
Myers Kenneth A KA Division of Neurology, Department of Pediatrics, - - 2014
A male neonate was antenatally diagnosed with cleidocranial dysplasia on the basis of prenatal ultrasound findings and molecular testing of the RUNX2 gene. The patient presented with urosepsis at 24 days of life and subsequently developed apneas after endoscopic examination of the vocal cords. Computed tomography and MRI studies of ...
Mohr V V Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, - - 2014
A 12-year-old girl presented with a history of recalcitrant urticarial rash, arthralgias, and febrile episodes for over two years. She repeatedly developed high-spiking fever and systemic inflammation unresponsive to antibiotic and antipyretic medication. PET-CT scan revealed symmetric cervical and mediastinal lymphadenopathies. The chronic urticaria in combination with the recurrent fever ...
Maughan Brandon C BC Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Robert Wood Johnson Clinical Scholar, University of Pennsylvania, Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA. Previous affiliation: Dept of Emergency Medicine, Alpert Medical School of Brown - - 2014
Emergency department (ED) patients frequently undergo chest x-ray (CXR) to evaluate for pneumonia. The rate of false-negative CXR in patients with pneumonia is unclear. Identify patients admitted with pneumonia who were diagnosed by CT despite nondiagnostic CXR. Retrospective analysis of quality improvement data on adult ED patients admitted with pneumonia ...
Margari Niki N Haematology Lincoln County Hospital Lincoln - - 2014
A 56-year-old man was brought to the Emergency Department after being found collapsed at his office with a reduced level of consciousness. From clinical examination and initial investigations, he was diagnosed as having bacterial meningitis and was promptly commenced on empirical i.v. antibiotics. Computed tomography of the brain revealed a ...
Berger P - - 2013
Aim: Aortic graft infection (AGI) is a dreaded complication in vascular surgery. Research on AGI is hampered by its rarity combined with a broad range of clinical presentation in critically ill patients. This report aims to explore the various current opinions on the diagnosis and treatment of AGI. Methods: A ...
Perinel Ragey S - - 2013
Air embolism following transbronchial needle aspiration (TBNA) is extremely rare. To date, only 1 case has been described (estimated incidence: 0.02-0.07%). Here, a 70-year-old patient developed a left upper-lobe alveolar syndrome with no response to well-conducted antibiotic treatments. Conventional bronchoscopy was normal, but virtual bronchoscopy showed that the tumor was ...
Inoue Mizuho - - 2013
Lactococcus lactis cremoris (L. lactis cremoris) infections are very rare in humans. Only three case reports of brain abscess have been reported and the infectious routes and pathological features are still unknown. We experienced a subdural empyema due to L. lactis cremoris in an immunocompetent adult. A 33-year-old man was ...
Wang Bing - - 2013
Deep neck infection is not difficult to diagnose clinically, but correct localization of the involved space for timely incision and drainage is not easy without assistance of imaging. To investigate the images of deep neck space infection of phlegmon and abscess and the role of imaging examination in correct localization ...
Mandegaran Ramin - - 2013
We present a case wherein striking (18)F-FDG-PET/CT findings initially considered consistent with recurrent disseminated skeletal metastases of breast cancer were later identified as an unusual presentation of disseminated chronic pyogenic osteomyelitis with Staphylococcus aureus and warneri identified on microbiological culture. A 76-year-old female with previous history of breast cancer presented ...
Shiraishi Manabu - - 2013
Atrioesophageal fistula (AEF) is a potentially lethal complication of catheter radiofrequency ablation for atrial fibrillation. A 49-year-old man with paroxysmal atrial fibrillation who underwent catheter ablation around the pulmonary vein was admitted 31 days after the procedure, suffering seizures and fever. Magnetic resonance imaging of the brain showed ischemia and multiple ...
Kim Jun Ho - - 2013
Half of male populations will have symptoms and signs of prostatitis in their lifetime. There is controversy concerning diagnosis of prostatitis with Ga scintigraphy because the focal midline pelvic uptake is usually considered to be physiologic uptake in colon. The authors describe Ga scintigraphy and SPECT/CT findings of a 58-year-old ...
Ramesh Vengalathur Ganesan VG Department of Neurosurgery, Chettinad Superspeciality Hospital, Chettinad Health City, Kelambakkam, Chennai, Tamil Nadu, - - 2013
Intramedullary spinal cord abscess in children is rare and holocord abscess is rarer. An 18-month-old girl presented with rapidly progressive paraplegia with fever for 2 months. The patient had complete flaccid paraplegia with absent sensation below D4 level. There was very small dermal sinus discharging pus in the lower lumbar ...
Kawano Yuji - - 2013
A 60-year-old man presented with fever and fatigue in a medical clinic and was given a diagnosis of cholangitis with mild cholangiectasis. The cholangiectasis remained even after treatment with an appropriate antibiotic agent. When the patient was transferred to our hospital for further examination, he was newly suffering from orthostatic ...
Yu Shao-Hua - - 2013
A 39-year-old woman with recurrent left otitis media presented with the sensation of fluid flowing in the head, headache, mild dyslexia, and disequilibrium for 2 weeks. She reported no head trauma and had a normal neurologic examination. Head CT (figure, A) showed intraventricular pneumocephalus and a focal low-density lesion with ...
Allan C - - 2013
A child developed acute epiphyseal osteomyelitis of the distal radius following a fall. Despite a delay in diagnosis the patient was successfully treated by surgery and antibiotics. Magnetic resonance imaging was the key to the diagnosis and surgical planning.
Saonanon Preamjit P Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. - - 2013
A 48-year-old Thai male farmer presented with progressive swelling of the right eyelid and high-grade fever. His visual acuity declined and the right side of his forehead developed a necrotic skin lesion with a purulent discharge. CT of the orbits suggested orbital cellulitis with subperiosteal abscess. Intravenous ceftriaxone and clindamycin ...
Belair Jeffrey Alan - - 2013
SPECT/CT imaging can provide improved diagnostic information over traditional planar scintigraphy and SPECT, with more precise anatomic localization and observer confidence. We present 2 patients with polycystic liver disease (PCLD), both with constitutional symptoms and bacteremia. In WBC SPECT/CT images revealed increased WBC localization within a single liver cyst in ...
Shyam Devajit Chowlek - - 2013
Fournier's gangrene (FG) is a synergistic polymicrobial gangrenous infection of the perineum, scrotum and penis which is characterised by obliterative endarteritis of the subcutaneous arteries, resulting in gangrene of the subcutaneous tissue and the overlying skin. FG affects all ages and both genders, with a male preponderance. It is a ...
Srisajjakul Sitthipong - - 2013
Pancolonic colonic wall thickening is a common CTfeature in patients diagnosed with Clostridium difficile colitis (CDC). To illustrate CT appearances of CDC in hospitalized patients with toxin assay indicant or endoscopic proven CDC. Two reviewers independently evaluated the colonic abnormalities in the retrospectively identified patients with toxin assay indicant or ...
Aslangul Elisabeth E Université Paris Descartes, Paris, France. - - 2013
Successful treatment of osteomyelitis is more likely with accurate diagnosis and identification of the causative pathogens. This typically requires obtaining a specimen of bone, usually by image-guided biopsy. We sought to develop a simpler bedside method for definitively diagnosing osteomyelitis. Over 2 years, we enrolled consecutive patients presenting to our ...
Hsu Chia-Tien - - 2013
A 71-year-old male patient with Parkinsonism was referred for an F-FDG PET/CT scan for suspicious recurrence of rectosigmoid adenocarcinoma. The FDG PET/CT scan revealed increased FDG uptakes in the lower pelvic region around the wall of the rectal stump, with extension to the bilateral pelvic sidewalls and the right gluteous ...
Cumurcu Tongabay - - 2013
Abstract A 65-year-old female patient presented with eye pain, swelling and blurred vision in the left eye. Routine biochemistry and microbiological analyzes were conducted. Orbital tomography (CT), magnetic resonance imaging (MRI) findings, and cerebral angiography were performed. Orbital cellulitis due to a complication of ethmoidal sinusitis was diagnosed with thrombosis ...
Yeom Jung Sook - - 2013
Splenic abscess is a rare finding in children. Splenectomy combined with broad-spectrum antibiotics has been the treatment of choice for multiple splenic abscesses. Herein, we report the case of a 14-year-old girl with multiple large splenic abscesses that were successfully managed after two image-guided percutaneous drainage procedures and administration of ...
Robertson Peter J - - 2013
In February 2013, the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) released its list of 5 recommendations of diagnostic and therapeutic interventions that physicians and patients should question, as part of the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely campaign. This commentary outlines the impetus for ...
Dotson Jennifer L - - 2013
BACKGROUND:: Complications of Crohn's disease may include intra-abdominal abscesses, which often result in hospitalization, surgery, and increased cost. There is a paucity of primary research and practice guidelines regarding optimal management in children. The study objective was to assess the current standard of care in an effort to define best ...
Hsu Chia-Tien - - 2013
ABSTRACT: A 70-year-old man with a history of autosomal dominant polycystic kidney disease was referred for F-FDG PET/CT scans twice at 6-month intervals due to repeated fever with negative conventional imaging studies. The FDG PET/CT scans revealed different hepatic cyst lesions in the 2 scans, with a large infected cyst ...
Gasior Alessandra C - - 2013
BACKGROUND/PURPOSE: Perforated appendicitis is associated with abscess formation before or after appendectomy. Many abscesses are not amenable to drainage due to size or location. In this study, we compare patients who had a drain placed for an abscess to those who were treated without a drain. METHODS: Data were retrospectively ...
Haviv Barak - - 2013
Magnetic resonance arthrography (MRA) is commonly used to detect labral tears of the hip. Complications of MRA are unusual and include minor reactions such as chemical synovitis and urticaria. This paper presents a rapidly progressive chondrolysis of the hip in a young patient after arthrography. The patient had suffered from ...
Chuang S Y - - 2013
To investigate the diagnostic value of contrast-enhanced computed tomography (CT) for the prediction of deep neck abscesses in different deep neck spaces and to evaluate the false-positive results. We retrospectively analysed the clinical charts, CT examinations, surgical findings, bacteriology, pathological examinations and complications of hospitalised patients with a diagnosis of ...
Lim Jeffrey - - 2013
A fit and well 16-year-old girl presented to the emergency department with signs and symptoms suggestive of appendicitis. A transabdominal ultrasound scan revealed a normal appendix but there was significant free fluid in the pelvis. Consequently, a CT scan of her abdomen was performed which showed mucosal oedema and inflammation ...
Dixon Luke - - 2013
An 86-year-old woman with type 2 diabetes was admitted with increasing lethargy and hyperglycaemia. On examination she was noted to have a tender and tympanic bladder. CT revealed a distended bladder with gas locules in the bladder wall. She was diagnosed with hyperglycaemic hyperosmolar non-ketosis precipitated by emphysematous cystitis. After ...
Ibrahim A - - 2013
Intimal (spindle cell) sarcomas of the left atrium are extremely rare primary cardiac tumours with three cases reported (Li et al. (2013), Cho et al. (2006), and Modi et al. (2009)). We present a 69-year-old man who first came to medical attention after experiencing abdominal discomfort. He had a 30 lb ...
Tanaka Kosuke - - 2013
A healthy 10-year-old boy presented with fever and progressively worsening sore throat and dysphagia. Physical examination showed pharyngeal erythema with tender left cervical lymphadenopathy. Radiography revealed 9 mm deep prevertebral soft tissues at the C2 level, and contrast-enhanced CT showed fluid collection with no major ring enhancement in the retropharyngeal ...
Hiraishi Yoshihisa - - 2013
A man in his 70s was diagnosed with squamous cell carcinoma (cT1aN2M0) by repeated transbronchial needle aspirations (one conventional and one using endobronchial ultrasonography) of the subcarinal lymph node. Shortly after the initiation of chemoradiotherapy, he began to have chest pain with a high fever. CT showed only subcarinal lymph ...
Kruis Wolfgang - - 2013
Appendicitis and diverticulitis are very common entities that show some similarities in diagnosis and course of disease. Both are widely believed to be simple clinical diagnoses, which is in contrast to scientific evidence. An accurate diagnosis has to describe not only the initial detection, but particularly the severity of the ...
Jaqua Nathan Thomas - - 2013
A 48-year-old man with an unremarkable medical history was admitted with vague conditions of fever, chills, myalgias and malaise. Physical examination was remarkable for only scleral icterus. Laboratory evaluation revealed elevated aminotransferases, alkaline phosphatase and bilirubin. Imaging demonstrated two masses in the right lobe of his liver, which were ultimately ...
Yoshino Tateki - - 2013
Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients, which was characterized by air within the bladder wall and lumen. A 83-year-old woman was introduced to our department with fever elevation and abnormal findings of computed tomography (CT). She took orally prednisolone for autoimmune hepatitis. ...
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