SPECT/CT advances abdominal emergency diagnoses
SPECT/CT can be a valuable resource for diagnosing gastrointestinal and genitourinary...Read more on AuntMinnie.comRelated Reading: SNMMI: SPECT/CT shines at sentinel lymph-node imaging ARRS: SPECT/CT valuable for finding GI bleed source SPECT/CT aids in tough endocarditis cases
Conclusions A thorough work up led to the diagnosis of polyarteritis nodosa as the cause of this patient’s isolated lower limb myopathy. No literature was found on this rare presentation of vasculitis.
By turning to a SPECT/CT scan with technetium-99m (Tc-99m) sestamibi, clinicians...Read more on AuntMinnie.comRelated Reading: SPECT/CT advances abdominal emergency diagnoses MRI shows benefits for renal cell carcinoma CEUS shines for indeterminate small renal masses SNMMI: SPECT/CT shines at sentinel lymph-node imaging SPECT/CT aids in tough endocarditis cases
Publication date: April–June 2017 Source:Colombian Journal of Anesthesiology, Volume 45, Issue 2 Author(s): Sergio Bustamante, Shravan Cheruku The Gerbode Defect is a rare form of intracardiac shunt from the left ventricle to the right atrium resulting from a defect in the membranous portion of the inter-ventricular septum. This defect can be congenital or acquired, with acquired causes including complications of aortic valve replacements and endocarditis. Intraoperative real time transesophageal echocardiography and 3D echocardiography are vital for diagnosis and anatomic characterization of the shunt. A thorough u...
People with acquired immune deficiency syndrome (AIDS) develop ischemic stroke through distinct mechanisms. These include infections such as syphilis, tuberculosis, varicella, and other conditions such as cocaine abuse, endocarditis, and hypercoagulability. The effect of improved awareness, detection, and treatment with highly active antiretroviral therapy (HAART) on the incidence and outcome of AIDS patients with stroke is unknown.
Conclusion Given the patient ’s active lupus disease and the elevated antinuclear antibody titers, we believe that the initial positive result was a false positive caused by interference from autoantibodies.
A best evidence topic was constructed according to a structured protocol. The question addressed was whether 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) aids the diagnosis of prosthetic valve endocarditis (PVE)? A total of 107 publications were found using the reported search, of which 6 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The reported outcome of all studies was a final diagnosis of confirmed endocarditis on fol...
This study was designed to determine the feasibility and diagnostic accuracy of simultaneous imaging of inflammation with 111In-labeled white blood cells (WBCs) and myocardial perfusion with 99mTc-sestamibi, for localization of WBCs relative to the valve plane in suspected endocarditis.Methods and resultsA dedicated cardiac CZT camera (Discovery 530c, GE Healthcare) was employed. Anthropomorphic thorax phantom studies were followed by clinical studies in 34 patients with suspected infection of native valves (n = 12) or implants (n = 22). Simultaneous 111In-WBC/99mTc perfusion imaging was performed, and compared with standa...
Conclusion Given the patient’s active lupus disease and the elevated antinuclear antibody titers, we believe that the initial positive result was a false positive caused by interference from autoantibodies.
We read with great interest the article by Vaziri and associates1 describing risk factors predictive of endogenous endophthalmitis among hospitalized patients with hematogenous infections in the United States. In their study, the leading predictors were infectious meningitis, endocarditis, and abscesses; comorbidities indicative of immunocompromise (including HIV/AIDS, lymphoma/leukemia, and diabetes with systemic complications); intensive care unit admission; and longer hospital stays. Although the study was concise, we have some concerns about how the study was presented.
Conclusion Decision making in noncompliant drug addicts with recurrent prosthesis infection and in HIV-positive patients leads beyond surgical challenges to ethical and economic considerations. PMID: 26030119 [PubMed - as supplied by publisher]