Role of F-18 FDG PET/CT in the Management of Infected Abdominal Aortic Aneurysm due to Salmonella

살모넬라 감염성 복부 대동맥류 환자에서 F-18 FDG PET/CT의 역할

  • Choi, Seung-Jin (Departments of Nuclear Medicine, Inha University College of Medicine) ;
  • Lee, Jin-Soo (Departments of Internal Medicine, Inha University College of Medicine) ;
  • Cheong, Moon-Hyun (Departments of Internal Medicine, Inha University College of Medicine) ;
  • Byun, Sung-Su (Departments of Radiology, Inha University College of Medicine) ;
  • Hyun, In-Young (Departments of Nuclear Medicine, Inha University College of Medicine)
  • 최승진 (인하대학교 의과대학 핵의학교실) ;
  • 이진수 (인하대학교 의과대학 내과학교실) ;
  • 정문현 (인하대학교 의과대학 내과학교실) ;
  • 변성수 (인하대학교 의과대학 방사선과학교실) ;
  • 현인영 (인하대학교 의과대학 핵의학교실)
  • Published : 2007.12.31

Abstract

We present a case of infected abdominal aortic aneurysm due to salmonella enteritidis. F-18 FDG PET/CT was performed to diagnosis and during follow-up after antibiotic treatment. Computed tomography (CT) is considered to be the best diagnostic imaging modality in infected aortic lesions. In this case, a combination of CT and FDG PET/CT provided accurate information for the diagnosis of infected abdominal aortic aneurysm. Moreover, FDG PET/CT made an important contribution to monitoring disease activity during antibiotic treatment.

Keywords

References

  1. Gomes MN, Choyke PL, Wallace RB. Infected aortic aneurysms. A changing entity. Ann Surg 1992;215:435-42 https://doi.org/10.1097/00000658-199205000-00005
  2. Yamada S, Kubota K, Kubota R, Ido T, Tamahashi N. High accumulation of fluorine-18-fluorodeoxyglucose in turpentine-induced inflammatory tissue. J Nucl Med 1995;36:1301-6
  3. Jaruskova M, Belohlavek O. Role of FDG-PET and PET/CT in the diagnosis of prolonged febrile states. Eur J Nucl Med Mol Imaging 2006;33:913-8 https://doi.org/10.1007/s00259-006-0064-z
  4. Meller J, Strutz F, Siefker U, Scheel A, Sahlmann CO, Lehmann K, et al. Early diagnosis and follow-up of aortitis with [(18)F]FDG PET and MRI. Eur J Nucl Med Mol Imaging 2003;30:730-6 https://doi.org/10.1007/s00259-003-1144-y
  5. Kario K, Mizuno Y, Kanatsu K, Tankawa H, Ikeda M. Infected abdominal aortic aneurysm due to salmonella: CT evaluation. Clinical Imaging 1991;15:261-4 https://doi.org/10.1016/0899-7071(91)90114-B
  6. Carreras M, Larena JA, Tabernero G, Langara E, Pena JM. Evolution of salmonella aortitis towards the formation of abdominal aneurysm. Eur Radiol 1997;7:54-6 https://doi.org/10.1007/s003300050108
  7. Hoogendoorn EH, Oyen WJ, van Dijk AP, van der Meer JW. Pneumococcal aortitis, report of a case with emphasis on the contribution to diagnosis of positron emission tomography using fluorinated deoxyglucose. Clin Microbial Infect 2003;9:73-6 https://doi.org/10.1046/j.1469-0691.2003.00563.x
  8. Kosters K, Bleeker-Rovers CP, van Crevel R, Oyen WJ, van der Ven AJ. Aortitis diagnosed by F-18-fluorodeoxyglucose positron emission tomography in a patient with syphilis and HIV coinfection. Infection 2005;33:387-9 https://doi.org/10.1007/s15010-005-5064-6
  9. Davison JM, Montilla-Soler JL, Broussard E, Wilson R, Cap A, Allen T. F-18 FDG PET-CT imaging of mycotic aneurysm. Clin Nucl Med 2005;30:483-7 https://doi.org/10.1097/01.rlu.0000167663.17630.0a
  10. Mendelowitz DS, Ramstedt R, Yao JS, Bergan JJ. Abdominal aortic salmonellosis. Surgery 1979;85:514-9
  11. Ioannidis JP, Merino F, Drapkin MS, Lew MA, Cohn LH. Pneumococcal aortitis in the antibiotic era. Arch intern Med 1995;155:1678-80 https://doi.org/10.1001/archinte.155.15.1678