Case Reports
Vol. 3 (2013)
https://doi.org/10.4081/cdr.3.230

Tc99m-HMPAO white blood cell scintigraphy: added value of SPECT/CT for infection diagnosis in cardiothoracic surgery

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Received: 27 September 2011
Published: 3 February 2012
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SPECT/CT, Tc99m-HMPAO white blood cell scintigraphy, cardiothoracic surgery.

Authors

Napoleone Prandini
s.panareo@ospfe.it
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Stefano Panareo
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Rosario Cultrera
Infectious and Tropical Disease Section, University of Ferrara, Italy.
Chiara Peterle
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Valentina de Cristofaro
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Massimo Roncali
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Vincenzo de Biasi
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
Lorenzo Badia
Infectious and Tropical Disease Section, University of Ferrara, Italy.
Luciano Feggi
Nuclear Medicine Unit, University-Hospital “S. Anna” Ferrara, Italy.
We report a case of a woman who came to our attention because of fever and a sternal fistula draining purulent fluid. Four years before, she had undergone cardiothoracic surgery to place a patch because of a myocardial rupture. Under suspicion of a deep mediastinal infection, a Tc99m-HMPAO white blood cell (WBC) scintigraphy was performed. The use of planar imaging and single photon emission computed tomography (SPECT/CT) imaging allowed the identification of a sternal infection, which involved the anterior mediastinum up to pericardium and diaphgram. SPECT/CT led to a precise diagnosis of a thoracic infection, providing the location and extent of the disease. This turned out useful to improve therapeutic strategies.

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Tc99m-HMPAO white blood cell scintigraphy: added value of SPECT/CT for infection diagnosis in cardiothoracic surgery. (2012). Chest Disease Reports, 3(1), e5. https://doi.org/10.4081/cdr.3.230
Copyright (c) 2012 Napoleone Prandini, Stefano Panareo, Rosario Cultrera, Chiara Peterle, Valentina de Cristofaro, Massimo Roncali, Vincenzo de Biasi, Lorenzo Badia, Luciano Feggi Creative Commons License

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