Repeated gallium-67 scan demonstrating an occult mycotic aneurysm of the aortic arch due to Salmonella.
A 71 y-old female with 40 degrees C fever and a change in consciousness during haemodialysis was referred for a gallium-67 scan, which revealed a horseshoe-like radioactive accumulation in the mediastinal region. Salmonella enteritidis was isolated from blood culture. Magnetic resonance imaging confirmed an aortic arch aneurysm. The patient died without surgery.
Kao
Pan-Fu
PF
Department of Nuclear Medicine, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan, Republic of China. kaopanfu@cgmh.org.tw
Chen
Kuo-Su
KS
Tsai
Ming-Fong
MF
Ng
Shu-Hang
SH
Tzen
Kai-Yuan
KY
D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000382:microbiology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000382:microbiology; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D018810:Magnetic Resonance Angiography; D011859:Radiography; D011877:Radionuclide Imaging; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis*; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D012720:Severity of Illness Index
D005710:Gallium Radioisotopes