Abstract: We present a case of permanent catheter infection demonstrated by gallium SPECT/CT. The patient is a 71-year-old woman with a history of end-stage renal disease under hemodialysis via permanent catheter due to arteriovenous graft occlusion. This time, she had fever, chills, and leukocytosis. Whole-body gallium scan showed uptake to the right clavicular region, and the SPECT/CT study showed that the uptake area was localized to the catheter line of the right neck permanent catheter. Culture of the removed catheter grew coagulase-negative staphylococci.