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A role of 18F-FDG-PET/CT in the detection of occult spondylodiscitis

Publication at Faculty of Medicine in Pilsen |
2019

Abstract

Aim: to assess the findings of spondylodiscitis found during the investigations using18F-FDG-PET/CT due to the bacteraemia or septic state of uncertain origin. Method: In the sample of 100 consecutive 18 F-FDG-PET/CT requested due to the investigation of the cause in bacteraemia or septic state, the findings were compared with the bacterial infection validation using cultivation, and the multifocal infectious foci were assessed.

Results: 16 cases of spondylodiscitis were found. There were 12 males and 4 females, mean age 39.1 years with the range 55 to 86 years.

The cause of the infection was Staphylococcus aureus in 11 cases (7x the methicillin sensitive form, and 4 times the resistant form), three cases of Klebsiella pneumoniae infection, and two single cases of Escherichia coli or Enterococcus faecium infection. Conclusion:18F-FDG-PET/CT is being an effective tool to detect the spondylodiscitis in patients suffering from bacteraemia or septic state of uncertain origin. (C) 2019, Galen spol. s.r.o.

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