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18F-FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPHY WITH COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF LOEFFLER'S ENDOCARDITIS: A CASE REPORT

By
Milica Kotur ,
Milica Kotur
Contact Milica Kotur

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Nikola Pantić ,
Nikola Pantić

Center for Nuclear Medicine with PET, University Clinical Center of Serbia, Belgrade , Belgrade , Serbia

Lenka Grujičić ,
Lenka Grujičić

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Isidora Grozdić-Milojević ,
Isidora Grozdić-Milojević

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Dragana Šobić-Šaranović ,
Dragana Šobić-Šaranović

Faculty of Medicine, University of Belgrade , Belgrade , Serbia

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Vera Artiko ,
Vera Artiko

Faculty of Medicine, University of Belgrade , Belgrade , Serbia

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Strahinja Odalović
Strahinja Odalović

Faculty of Medicine, University of Belgrade , Belgrade , Serbia

Center for Nuclear Medicine with PET, University Clinical Center of Serbia , Belgrade , Serbia

Abstract

Loeffler's endocarditis (LE) is a rare form of inflammatory cardiomyopathy. The condition arises from diffuse eosinophilic infiltration of the endomyocardium, followed by eosinophil degranulation and progressive tissue fibrosis. The aim of this case report is to present a rare form of restrictive cardiomyopathy, LE, in a young female patient, and to highlight the importance of fluorodeoxyglucose positron emission tomography combined with computed tomography (FDG PET/CT) as a valuable diagnostic tool for accurate diagnosis, assessment of cardiac involvement, and determination of disease extent. We present the case of a female patient who underwent FDG PET/CT imaging due to suspected LE, following the detection of eosinophilia and a series of prior diagnostic procedures. FDG PET/CT contributed to the timely diagnosis and precise localization of inflammatory lesions in the cardiac walls. Based on the presented case, we conclude that FDG PET/CT imaging can serve as a helpful tool in the diagnosis and evaluation of LE due to its unique capability to visualize metabolic activity in tissues — a feature often beyond the reach of conventional diagnostic methods. This modality enables accurate identification of inflammatory lesions in the endocardium and myocardium, which are characteristic of LE.

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Additional files
56475-Drugi-357607-1-2-20250203.pdf
56475-Drugi-357604-1-2-20250203.pdf
Milica Kotur - recenzija Branislava Radović.docx
Milica Kotur - Recenzija Miloš Stević.docx
Milica Kotur - odgovor recenzentima.docx
Milica Kotur - orignalna datoteka.docx

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