Occult purulent pericarditis detected by indium-111 leukocyte imaging.
Leukocyte imaging with indium-111 is a relatively new technique which, to this point in time, has been discussed almost exclusively in the radiologic literature. Although this procedure has been used mainly to detect intra-abdominal infection, the thorax is routinely imaged along with the abdomen, and therefore detection of cardiac disease may be feasible. This case report is of a young woman after liver transplantation who developed occult purulent pericarditis initially detected by a leukocyte scan with indium-111. This case demonstrates that striking pericardial uptake on a whole-body indium-111 leukocyte scan can occur with purulent pericarditis, and it reemphasizes how insidiously purulent pericarditis may present in an immunosuppressed patient.
D000328:Adult; D004452:Echocardiography; D005260:Female; D006801:Humans; D007204:Indium; D007962:Leukocytes; D016031:Liver Transplantation; D010493:Pericarditis / Q000000981:diagnostic imaging*; D011183:Postoperative Complications; D011868:Radioisotopes; D011877:Radionuclide Imaging; D013492:Suppuration / Q000000981:diagnostic imaging
D011868:Radioisotopes; D007204:Indium