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Table 12 Diseases that require control of the source of infection and imaging tests

From: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020)

   Main tests expected
Region   Simple X-ray Ultrasonography CT scan MRI scan
Head and neck Brain abscess / meningoencephalitis    (contrast-enhanced imaging) (contrast-enhanced imaging), contrast enhanced fluid-attenuated inversion recovery (FLAIR) (for encephalitis)
Chest Cervical abscess (descending mediastinitis)   (contrast-enhanced imaging)  
Empyema (contrast-enhanced imaging)  
Infective endocarditis   a (contrast-enhanced imaging)  
Abdomen Intestinal perforation / peritonitis (contrast-enhanced imaging)  
Cholecystitis / cholangitis   (contrast-enhanced imaging) (MRI/MRCP)
Obstructive urinary tract infection  
Other Necrotic soft tissue infections    (contrast-enhanced imaging)  
  1. aTransesophageal echocardiography other than the transthoracic wall variant is more accurate in diagnosing infective endocarditis