Should White Blood Cell Scan be Replaced by 18F-FDG PET-CT in the Diagnosis of Prosthetic Vascular Graft Infection?

被引：1

作者：

Pinaquy, Jean-baptiste ^{[1
]}

Berard, Xavier ^{[2
,3
]}

Stecken, Laurent ^{[4
]}

Tlili, Ghoufrane ^{[1
]}

M'zali, Fatima ^{[5
,6
]}

Bordenave, Laurence ^{[1
,3
]}

Pereyre, Sabine ^{[7
,8
,9
]}

Mayeux, Stephane ^{[2
]}

Cazanave, Charles ^{[7
,8
,10
]}

机构：

[1] CHU Bordeaux, Nucl Med Serv, Bordeaux, France

[2] CHU Bordeaux, Serv Chirurg Vasc, Bordeaux, France

[3] CHU Bordeaux, CIC IT BioDiMI, Bordeaux, France

[4] CHU Bordeaux, Dept Anesthesie, Bordeaux, France

[5] Univ Bordeaux, Aquitaine Microbiol, UMR 5234, Bordeaux, France

[6] CNRS, Aquitaine Microbiol, UMR 5234, Bordeaux, France

[7] Univ Bordeaux, USC EA 3671, Infect Humaines Mycoplasmes & Chlamydiae, Bordeaux, France

[8] INRA, USC EA3671, Infect Humaines Mycoplasmes & Chlamydiae, Bordeaux, France

[9] CHU Bordeaux, Lab Bacteriol Bordeaux, Bordeaux, France

[10] CHU Bordeaux, Serv Malad Infect & Tropicales, Bordeaux, France

来源：

ANNALS OF VASCULAR SURGERY | 2015年 / 29卷 / 06期

关键词：

JOINT INFECTION; SONICATION; MANAGEMENT; RECOVERY; IMPLANTS;

D O I：

10.1016/j.avsg.2015.03.053

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Diagnosis of prosthetic vascular graft infection (PVGI) is a clinical challenge requiring accurate diagnostic methods for their optimal management. A 65-year-old patient with suspected PVGI was explored by fluorodeoxyglucose positron emission tomography combined with computed tomography (F-18-FDG PET-CT) for pretreatment staging. Standard imaging was unrevealing but PET images showed multiple foci with increased uptake suggesting prosthetic infection. While routine results from the diagnostic laboratory were negative, prosthesis sonication before standard culture revealed the same bacterium as a culture of preoperative lymphocele aspiration. F-18-FDG PET-CT and preliminary sonication of the prosthetic graft could be very helpful in the diagnosis of PVGI especially for highlighting biofilm bacteria.

引用

页码：1321.e1 / 1321.e4

页数：4

共 13 条

[1] Accuracy of FDG-PET-CT in the Diagnostic Work-up of Vascular Prosthetic Graft Infection [J].