Detection of infectious colitis by 18F-fluorodeoxyglucose-positron emission tomography in a child receiving intensive care after cardiac surgery.
Pyrexia of unknown origin (PUO) and suspected focal infection/inflammation are challenging medical problems. Nuclear medicine methods using scintigraphy with (111)In- or (99m)Tc-labelled antibodies or (67)Ga-citrate have been validated for the diagnosis and detection of inflammatory processes. Recently, positron emission tomography (PET) with (18)F-fluorodeoxyglucose (FDG) has been described as a promising imaging method, especially for PUO. We report the use of FDG-PET in an 18-month-old boy that revealed unexpected infectious colitis after cardiac surgery. This case suggests that FDG-PET is a valuable tool for the detection of unknown inflammatory foci in childhood, especially when the time needed for examination and radiation exposure are to be considered.
Ruf
Juri
J
Klinik für Strahlenheilkunde, Campus Virchow-Klinikum, Charité--Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. juri.ruf@charite.de
Griebenow
Boris
B
Stiller
Brigitte
B
Sarioglu
Nanette
N
Lange
Peter E
PE
Amthauer
Holger
H
D006348:Cardiac Surgical Procedures; D003092:Colitis / Q000150:complications / Q000000981:diagnostic imaging*; D003113:Colonoscopy; D003422:Critical Care; D005335:Fever of Unknown Origin / Q000209:etiology; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007223:Infant; D008297:Male; D049268:Positron-Emission Tomography; D011183:Postoperative Complications; D019275:Radiopharmaceuticals; D014915:Whole-Body Counting
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18
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