由FDG PET/CT识别的受感染的塑料胆道支架:一个案例报告
Yeon-Hee Han1, Seong-Hun Kim2, Chang-Seop Lee2
1Department of Nuclear Medicine, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Cyclotron Research Center, Molecular Imaging and Therapeutic Medicine Research Center, Jeonbuk National University Medical School and Hospital, Jeonju, Jeonbuk, Republic of Korea.
Medicine
|February 6, 2026
概括
F-18氧葡萄糖正子发射断层扫描/计算机断层扫描 (FDG PET/CT) 在患有复发性发烧的患者中有效识别了感染的胆道支架. 迅速切除支架和向性抗生素解决了败血症,突出了FDG PET/CT.
科学领域:
- 核医学是一种核医学.
- 放射学 放射学是指放射学
- 传染性疾病 传染性疾病
背景情况:
- 未知来源的发烧的诊断挑战,特别是当传统的成像是不确定的.
- 内置的胆道支架可以作为持续性败血症的来源.
- F-18氧葡萄糖正子发射断层扫描/计算机断层扫描 (FDG PET/CT) 在识别隐性感染中的作用.
研究的目的:
- 为了说明FDG PET/CT在检测感染胆道支架中的诊断效用.
- 为了证明FDG PET/CT在指导治疗复发性败血症后胆道干预的有效性.
主要方法:
- 一个82岁的老妇人的病例介绍,患有反复发烧和胆道支架病史.
- 诊断工作包括FDG PET/CT,内镜检查和微生物培养.
- 干预包括内镜切除支架和向抗生素治疗.
主要成果:
- FDG PET/CT检测出胆管支架尖端的焦点超代谢,表明存在感染.
- 内镜检查证实了十二指甲状腺 papillitis,生物膜的形成,并在支架站点的污泥.
- 微生物培养物发现了大肠杆菌和肺炎菌.
结论:
- FDG PET/CT是诊断感染胆道支架的有价值的工具,用于诊断患有不明原因的复发性发烧的患者.
- 早期使用FDG PET/CT可以防止不必要的程序,并促进及时,有针对性的干预.
- 成功的治疗包括切除支架和培养导向的抗菌药物治疗,导致症状消失.
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