TY - JOUR T1 - Lesson of the month 1: Spontaneous septic thrombophlebitis presenting with bacteraemia diagnosed by PET-CT scan JF - Clinical Medicine JO - Clin Med SP - 471 LP - 472 DO - 10.7861/clinmedicine.17-5-471 VL - 17 IS - 5 AU - Patrick Harnett AU - Shaifali Jain Y1 - 2017/10/01 UR - http://www.rcpjournals.org/content/17/5/471.abstract N2 - Spontaneous septic thrombophlebitis is a rare complication of Staphylococcus aureus bacteraemia. Its true incidence is unknown as septic thrombus is not often considered as a source in the typical ‘screen’ of tests used to find the source of a bacteraemia.Positron emission tomography computerised tomography (PET-CT) is becoming increasingly available to physicians, is highly sensitive and yields specific anatomical information regarding abnormal metabolically active sites in infection, inflammation and neoplasia.In this case, PET-CT enabled the identification of the source of a septic thrombus and enabled focused management. PET-CT should be considered as part of the raft of tests used to identify an obscure source of fever/bacteraemia. ER -