Abstracts XIX Brazilian Congress of Nuclear Medicine
5. INFECTIOUS DISEASES
5.4 - INFECTION AT A CATHETER TIP: UNEXPECTED FINDING DURING MYOCARDIAL GALLIUM-67 SCINTIGRAPHY
Érico L. Camacho, Fábio M. Silva, Mário L. M. Lins Filho, Eleuses V. Paiva - Serviço de Medicina Nuclear do Hospital de Base- FUNFARME ,São José do Rio Preto, SP.
We report a case of a child, 2 years and 10 months old, with initial diagnosis of pneumonia and dehydration. The patient was managed initially with intravenous fluids and antibiotics with initial improvement One week later there was recurrence of fever and a rapid deterioration of the cardiorespiratory system requiring transfer to the peadiatric intensive care unit. An echocardiogram was performed, revealing a dilated cardiomyopathy, severe difuse hipokinesia, right pleural effusion, low cardiac output and pulmonary hypertension. A gallium study was performed to evaluate inflammatory activity in the myocardium. The images revealed significantly increased uptake in the myocardium, confirming the clinical hypothesis of acute myocarditis as well as abnormal uptake in the upper left hemithorax (region of the subclavian), corresponding to an unexpected infection at the catheter tip.
1.Cardiology | 2.Endocrinology | 3.Equipment: Quality Control | 4.Gastroenterology | 5.Infectious Diseases | 6.Nephro-Urology | 7.Oncology | 8.Orthopheadics | 9.PET/SPECT | 10.Pneumology | 11.Radiobiology | 12.Radiopharmacy | 13.Special Clinical Applications | 14.Neuropsychiatry |