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Pyomyositis as Presentation of Chemoport-related Infection in Breast Carcinoma: 18F-FDG PET/CT Findings
Vijay Singh1, Dinesh Srivastava2, Neha Kotarya2
1All India Institute of Medical Sciences (AIIIMS), Rishikesh, India.
Abstract:
A Chemoport is frequently utilized in oncological patients for administering chemotherapy. However, inadequate care can lead to various infectious and non-infectious complications. Infection commonly presents as a local infection that can lead to life-threatening septicemia. Early diagnosis and intervention are necessary to reduce morbidity and mortality. We report a patient with breast cancer who underwent 18F-fluorodeoxyglucose positron (18F-FDG) positron emission tomography/computed tomography (PET/CT) due to suspicion of metastatic disease. 18F-FDG-PET/CT revealed pyomyositis involving multiple skeletal muscles and septic emboli in the lungs and identified the chemoport as a possible source of infection. The infection source was confirmed and the patient responded to anti-microbiological therapy.
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