Cardiac aneurysm complicated by E. coli abscess.
An E. coli myocardial abscess developed in the region of an old aneurysmal myocardial scar. In spite of vigorous antibiotic therapy fever and positive blood cultures persisted. A combination of In-111 WBC scanning and Tc-99m RBC gated heart imaging located the infection in the aneurysmal scar. The abscess was resected and the patient survived.
D000038:Abscess / Q000000981:diagnostic imaging* / Q000209:etiology; D000368:Aged; D004912:Erythrocytes; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging* / Q000209:etiology; D005710:Gallium Radioisotopes; D006322:Heart Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D007204:Indium; D007962:Leukocytes; D008297:Male; D011868:Radioisotopes; D011877:Radionuclide Imaging; D013667:Technetium; D013927:Thrombosis / Q000209:etiology
D005710:Gallium Radioisotopes; D011868:Radioisotopes; D007204:Indium; D013667:Technetium