ArticleCureus2023
Fluorine-18-Fluorodeoxyglucose PET/CT Proved Valvular Endocarditis in a Native Valve Patient.
Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
A 79-year-old woman with a background history of hypertension, diabetes mellitus, hypercholesterolemia, alcoholic liver disease, and osteoporosis presented to the hospital with fever and confusion. Based on the initial investigations, it was challenging to identify the primary source of infection. Positive group G streptococcus on blood cultures raised the suspicion of uncommon infective endocarditis (IE). Two transthoracic echocardiographic studies were performed a week apart, and both were inconclusive. She was also diagnosed with atrial fibrillation, and the decision for anticoagulation became difficult as the clinical suspicion for IE was very high. Fluorine-18-fluorodeoxyglucose (18F-FDG) PET/CT confirmed the diagnosis of native valve endocarditis (NVE), and the possible complication related to anticoagulation was prevented. Though 18F-FDG PET/CT is commonly used to evaluate prosthetic valve endocarditis (PVE) and IE related to cardiac devices and catheters, its role and applicability to evaluate challenging cases of NVE could be entertained.
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