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Cardiac Aneurysm Complicated by E. coli Abscess

St. Luke's Hospital, Milwaukee, Wisconsin

Correspondence: For reprints contact: David L. Yuille, MD, Nuclear Medicine Dept., St. Luke's Hospital, 2900 West Oklahoma Ave., Milwaukee, WI 53215.

ABSTRACT

An E. coli myocardial abscess developed in the region of an old aneurysmal myocardial scar. In spite of vigorous antibiotic therapy fever and positive blood cultures persisted. A combination of In--111 WBC scanning and Tc-99m RBC gated heart imaging located the infection in the aneurysmal scar. The abscess was resected and the patient survived.