Zusammenfassung.
Ziel: Fokussuche bei Patienten mit Fieber unklarer Genese. Material und Methode: Bei vier Patienten wurde unter o.g. Fragestellung eine F-18-FDG-Ganzkörper-PET durchgeführt,
nachdem alle üblichen bildgebenden Verfahren keinen Hinweis auf einen Fokus erbracht
hatten. Ergebnisse: Die Ursache des Fiebers wurde bei allen Patienten durch die PET objektiviert: Tuberkulose,
Pneumocystis-carinii Pneumonie, chronisch entzündliches Hämatom und Aortitis. Schlußfolgerung: Es deutet sich an, daß die F-18-FDG-Ganzkörper-PET als ergänzende Untersuchungsmethode
bei anderweitig nicht zu klärender Ursache des Fiebers erfolgreich eingesetzt werden
kann. Dies ist durch prospektive Studien weiter zu belegen.
Purpose:
Search for focus in patients with fever of unknown origin (FUO). Material and methods: In four patients with the above mentioned problem, F-18-FDG-PET was performed, following
the common imaging methods, which were without evidence for a focus. Results: The origin of FUO was verified in all patients by PET: Tuberculosis, pneumocystis-carinii
pneumonia, chronic inflammatory hematoma, aortitis. Conclusion: Successful implementation of F-18-FDG-PET as additional imaging method in patients
with FUO seems reasonable. This has to be verified by further prospective studies.
Schlüsselwörter:
Emissions-CT (ECT) - Entzündung - Nuklearmedizinische Untersuchungen - Abdominelle
Infektion - Pulmonale Infektion - Glukose - Fluorine
Key words:
Emissions CT (ECT) - Inflammation - radionuclide studies - Abdomen - infection - Lung
- infection - Glucose - Fluorine
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Dr. Jörn Lorenzen
Radiologische Klinik Univ.-Klinik Hamburg-Eppendorf
Martinistraße 52
D-20246 Hamburg
Phone: 040/428304010
Fax: 040/428305968
