F-18-Fluorodeoxyglucose Positron Emission Tomography/CT Effectively Identifying Source of Infection in a Patient With Multiple Dialysis Arteriovenous Fistula Access Points

Radiologic imaging techniques, such as F-18-fluorodeoxyglucose positron emission tomography/computerized tomography (FDG PET/CT), provide diagnostic value in a variety of diseases. In cases of suspected infection, FDG PET/CT can find areas of fluorodeoxyglucose metabolism, correlating with local acu...

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Published in:Curēus (Palo Alto, CA) CA), 2020-06, Vol.12 (6)
Main Authors: Roberts, James T, Villanueva-Meyer, Javier, Bezold, Samuel, Krider, Samuel O, Nguyen, Quan D
Format: Article
Language:English
Subjects:
Antibiotics
Case reports
Catheters
Edema
Fever
Fistula
Hemodialysis
Immune system
Infections
Infectious Disease
Infectious diseases
Inflammation
Kidney diseases
Medical diagnosis
Medical Education
Medical imaging
Metabolism
Patients
Prostheses
Radiology
Sarcoidosis
Tomography
Vascular surgery
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creator Roberts, James T
Villanueva-Meyer, Javier
Bezold, Samuel
Krider, Samuel O
Nguyen, Quan D
description Radiologic imaging techniques, such as F-18-fluorodeoxyglucose positron emission tomography/computerized tomography (FDG PET/CT), provide diagnostic value in a variety of diseases. In cases of suspected infection, FDG PET/CT can find areas of fluorodeoxyglucose metabolism, correlating with local acute inflammation. The following case involves a man with end-stage renal disease (ESRD), who presented with symptoms of infection and positive blood cultures with high suspicion of arteriovenous fistula as the source of infection. The patient also had two central lines that could be a site of infection. Concerns for patient’s persistent positive blood cultures necessitated FDG PET/CT to confirm site of infection. Confirming active infection and the source of infection guides therapeutic measures and eliminates concern for other disease etiologies common in patients with ESRD.
doi_str_mv 10.7759/cureus.8516
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subjects Antibiotics
Case reports
Catheters
Edema
Fever
Fistula
Hemodialysis
Immune system
Infections
Infectious Disease
Infectious diseases
Inflammation
Kidney diseases
Medical diagnosis
Medical Education
Medical imaging
Metabolism
Patients
Prostheses
Radiology
Sarcoidosis
Tomography
Vascular surgery
title F-18-Fluorodeoxyglucose Positron Emission Tomography/CT Effectively Identifying Source of Infection in a Patient With Multiple Dialysis Arteriovenous Fistula Access Points
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