Document Detail


Femoropopliteal prosthetic bypass graft infection due to Mycobacterium abscessus localized by FDG-PET/CT scan.
MedLine Citation:
PMID:  19595547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with postvascular graft placement presented with bacteremia but no localizing symptoms. Our standard infected graft workup of computed tomography (CT) scan, ultrasound scan, magnetic resonance imaging (MRI) scan, and additional laboratory tests did not localize the infection source. Nuclear medicine had three options including white blood cell (WBC) scan, gallium scan, and the fluorine-18-fluorodeoxyglucose positron emission tomography (FDG-PET)/CT scan. FDG-PET/CT imaging alone demonstrated the location. We present an unusual case of Mycobacterium abscessus in a vascular graft not localized with CT scan, ultrasound scan, or MRI scan and could only be localized with FDG-PET/CT scan.
Authors:
Michael D Marion; Mark K Swanson; Jeanne Spellman; Michael E Spieth
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  50     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-29     Completed Date:  2009-10-15     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  907-9     Citation Subset:  IM    
Affiliation:
Department of Medical Education General Surgery Residency, Marshfield Clinic, Marshfield, WI 54449, USA. marion.michael@marshfieldclinic.org
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MeSH Terms
Descriptor/Qualifier:
Abscess / drug therapy,  microbiology,  radionuclide imaging*,  surgery
Aged
Angioplasty / adverse effects*,  methods
Anti-Bacterial Agents / therapeutic use
Blood Vessel Prosthesis Implantation / adverse effects*,  methods
Device Removal
Female
Femoral Artery / surgery
Fluorodeoxyglucose F18 / diagnostic use*
Follow-Up Studies
Foot Ulcer / diagnosis,  etiology
Humans
Mycobacterium / classification
Mycobacterium Infections / drug therapy,  radionuclide imaging*,  surgery
Peripheral Vascular Diseases / complications,  radiography,  surgery
Popliteal Artery / surgery
Positron-Emission Tomography / methods*
Prosthesis-Related Infections / microbiology,  radionuclide imaging*
Reoperation
Risk Assessment
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 63503-12-8/Fluorodeoxyglucose F18

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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