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.
Department of Nuclear Medicine, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan, Republic of China. kaopanfu@cgmh.org.tw
Pan-Fu
PF
Kao
Kuo-Su
KS
Chen
Ming-Fong
MF
Tsai
Shu-Hang
SH
Ng
Kai-Yuan
KY
Tzen
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