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Cardiac aneurysm complicated by E. coli abscess.

F E Reinke, D L Yuille, L J Jackson

    Journal of Nuclear Medicine : Official Publication, Society of Nuclear Medicine
    |December 1, 1983
    PubMed
    Summary
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    A persistent E. coli myocardial abscess, resistant to antibiotics, was successfully located using combined In-111 WBC and Tc-99m RBC imaging. Surgical resection led to patient survival.

    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Nuclear Medicine

    Background:

    • Myocardial abscesses can develop in areas of old myocardial scars.
    • Persistent fever and positive blood cultures indicate treatment-resistant infection.

    Observation:

    • An E. coli myocardial abscess was identified in a patient with an old aneurysmal myocardial scar.
    • Standard antibiotic therapy failed to resolve the infection, evidenced by persistent symptoms.

    Findings:

    • Combined Indium-111 white blood cell (WBC) scanning and Technetium-99m red blood cell (RBC) gated heart imaging precisely located the abscess within the aneurysmal scar.
    • Surgical resection of the abscess was performed.

    Implications:

    • Nuclear imaging techniques are crucial for diagnosing and localizing complex myocardial abscesses.

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  • Successful surgical intervention can lead to favorable outcomes in patients with refractory myocardial infections.