The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa
INTRODUCTION: Staphylococcus aureus bacteremia (SAB) can be complicated with metastatic foci as a result of seeding to any body site. It is very important to detect metastatic infections for determining the appropriate treatment modality and duration. Here, we presented a S. aureus bacteremia patien...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Global Antimicrobial Resistance |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213716524002856 |
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| author | Elif Mukime Sarıcaoglu Ezgi Gulten Gule Cınar Irem Akdemır Tamara Huseynli Pelin Cakmak Eyup Bayatlı Elgın Ozkan Kemal Osman Memıkoglu |
| author_facet | Elif Mukime Sarıcaoglu Ezgi Gulten Gule Cınar Irem Akdemır Tamara Huseynli Pelin Cakmak Eyup Bayatlı Elgın Ozkan Kemal Osman Memıkoglu |
| author_sort | Elif Mukime Sarıcaoglu |
| collection | DOAJ |
| description | INTRODUCTION: Staphylococcus aureus bacteremia (SAB) can be complicated with metastatic foci as a result of seeding to any body site. It is very important to detect metastatic infections for determining the appropriate treatment modality and duration. Here, we presented a S. aureus bacteremia patient complicated with multiple paravertebral and psoas abscess diagnosed with 18F-fluorodeoxyglucose-positron emission tomography in combination with computed tomography (FDG PET/CT). CASE PRESENTATION: A sixty nine year-old male patient presented to the emergency department with hip pain, fever and septic clinical findings. His temperature was 390C, pulse rate was 110 beats/min, blood pressure was 100/70 mmHg. Methicilline sensitive S. aureus growth was detected on all blood cultures. Ceftriaxone treatment started in the emergency room was discontinued and cefazolin was started. Transthoracic, transesophageal echocardiography and abdominal ultrasonography was normal. FDG PET-CT scan was planned to investigate the etiology of fever and identify any metastatic infectious foci. PET-CT imaging revealed that increased metabolic activity in the paraspinal regions at the level of thoraco-lumbar vertebrae, psoas muscle and pubic symphisis. Further imaging directed at the areas identified on PET-CT confirmed the presence of a broad paravertebral abscess and psoas. These abcsess were partially drained by neurosurgery specialists because of multiple and wide area involvement. The patient's treatment was continued with oral amoxicillin clavulonic asit until resolution of abcesses. CONCLUSION: Previous studies had shown that 18F-FDG PET/CT had a positive impact on outcome and the management of SAB. Diagnostic PET-CT imaging plays a crucial role in targeted management and timely intervention for SAB. |
| format | Article |
| id | doaj-art-16feffb2a075424e9cdf2cfa2ad2aa82 |
| institution | DOAJ |
| issn | 2213-7165 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Global Antimicrobial Resistance |
| spelling | doaj-art-16feffb2a075424e9cdf2cfa2ad2aa822025-08-20T02:53:16ZengElsevierJournal of Global Antimicrobial Resistance2213-71652024-12-0139343510.1016/j.jgar.2024.10.108The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıaElif Mukime Sarıcaoglu0Ezgi Gulten1Gule Cınar2Irem Akdemır3Tamara Huseynli4Pelin Cakmak5Eyup Bayatlı6Elgın Ozkan7Kemal Osman Memıkoglu8Ankara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyAnkara University Faculty of Medicine, Department of NeurosurgeryAnkara University Faculty of Medicine, Department of Nuclear MedicineAnkara University Faculty of Medicine, Department of Infectious Diseases and Clinical MicrobiologyINTRODUCTION: Staphylococcus aureus bacteremia (SAB) can be complicated with metastatic foci as a result of seeding to any body site. It is very important to detect metastatic infections for determining the appropriate treatment modality and duration. Here, we presented a S. aureus bacteremia patient complicated with multiple paravertebral and psoas abscess diagnosed with 18F-fluorodeoxyglucose-positron emission tomography in combination with computed tomography (FDG PET/CT). CASE PRESENTATION: A sixty nine year-old male patient presented to the emergency department with hip pain, fever and septic clinical findings. His temperature was 390C, pulse rate was 110 beats/min, blood pressure was 100/70 mmHg. Methicilline sensitive S. aureus growth was detected on all blood cultures. Ceftriaxone treatment started in the emergency room was discontinued and cefazolin was started. Transthoracic, transesophageal echocardiography and abdominal ultrasonography was normal. FDG PET-CT scan was planned to investigate the etiology of fever and identify any metastatic infectious foci. PET-CT imaging revealed that increased metabolic activity in the paraspinal regions at the level of thoraco-lumbar vertebrae, psoas muscle and pubic symphisis. Further imaging directed at the areas identified on PET-CT confirmed the presence of a broad paravertebral abscess and psoas. These abcsess were partially drained by neurosurgery specialists because of multiple and wide area involvement. The patient's treatment was continued with oral amoxicillin clavulonic asit until resolution of abcesses. CONCLUSION: Previous studies had shown that 18F-FDG PET/CT had a positive impact on outcome and the management of SAB. Diagnostic PET-CT imaging plays a crucial role in targeted management and timely intervention for SAB.http://www.sciencedirect.com/science/article/pii/S2213716524002856Staphylococcus aureusPET/BTparavertebral abscesspsoas abscess |
| spellingShingle | Elif Mukime Sarıcaoglu Ezgi Gulten Gule Cınar Irem Akdemır Tamara Huseynli Pelin Cakmak Eyup Bayatlı Elgın Ozkan Kemal Osman Memıkoglu The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa Journal of Global Antimicrobial Resistance Staphylococcus aureus PET/BT paravertebral abscess psoas abscess |
| title | The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa |
| title_full | The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa |
| title_fullStr | The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa |
| title_full_unstemmed | The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa |
| title_short | The value of fdg pet/ct for dıagnosıng metastatıc ınfectıons ın staphylococcus aureus bacteremıa |
| title_sort | value of fdg pet ct for diagnosing metastatic infections in staphylococcus aureus bacteremia |
| topic | Staphylococcus aureus PET/BT paravertebral abscess psoas abscess |
| url | http://www.sciencedirect.com/science/article/pii/S2213716524002856 |
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