A Case of Massive Pulmonary Embolism Masked by a Ventricular Septal Defect

Lee, Kyoung Yong; Chung, Woo Cho; Kim, Kyung Joong; Doo, Young Jae; Choi, Jiwook; Yun, Yeong Seop; Lee, Beom Jae

doi:10.3904/kjm.2015.89.1.85

Cited by 1 publication

(1 citation statement)

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“…2,5,6 There are few reports of Klebsiella isolated from urinary tract that led to SPE. 7,8 In the study conducted by Jiang et al, describing CT findings of SPE multiple peripheral nodules were the most followed by pleural effusion, cavitation, feeding vessel sign, lobar consolidation. 9 The estimated hospital mortality rate for patients with septic pulmonary emboli falls within the range of 12% to 19.4% and in a systemic review of clinical characteristics of patients with SPE, septic shock and MODS have been found to be the leading causes of mortality.…”

Section: Discussionmentioning

confidence: 99%

Gram negative grimness: unveiling prognostic peril of septic pulmonary embolism in a case series

Chaudhry,

Dutta,

Bhatia

et al. 2024

Int J Res Med Sci

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Septic pulmonary embolism (SPE) is a complex condition characterized by the embolization of fibrin-thrombi containing pathogens from an infectious site to pulmonary vasculature, leading to secondary infection. The commonly reported causes are right sided infective endocarditis, septic thrombophlebitis, purulent infections in the skin and soft tissues, pelvic thrombophlebitis, intravascular catheters and liver abscess and the leading organisms implicated are Staphylococcus and Klebsiella. This case series describes three elderly patients with comorbid illnesses and having gram-negative septicemia secondary to Klebsiella, each with sub segmental septic pulmonary emboli and tries to explores the possibility of association of sub segmental SPE as prognostication marker in gram negative sepsis.

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