Nonthrombotic Pulmonary Emboli

Rossi, Santiago E.; Goodman, Philip C.; Franquet, Tomás

doi:10.2214/ajr.174.6.1741499

Cited by 137 publications

(106 citation statements)

References 42 publications

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“…Intravenous drug abuse, soft tissue, odontogenic, tonsillary and pelvic infections have also been reported as sources. Immunocompromised patients and patients receiving steroids or anticancer drugs also have an increased risk of suffering from a septic pulmonary embolism [4].…”

Section: Discussionmentioning

confidence: 99%

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Septic Pulmonary Embolism: three Case Reports

Kayal

Atasoy

et al. 2016

Monaldi Arch Chest Dis

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We present three cases of septic pulmonary embolism which occurred as a result of three different causes. The first case, was a 23 year old woman suffering from cough, sputum, hemopthisis and pleuritic chest pain. She had a right subclavian port. On her thorax computed tomography (CT) scans there were widespread bilateral, irregular parenchymal nodular infiltrates and some of them beginning to cavitate. Meticilin resistant stafilococus aureus (MRSA) was isolated from the blood culture and septic embolism was diagnosed. A month after antibiotic theraphy her parenchymal nodules have considerably decreased in size. The second case was a 40 year old woman admitted to our hospital with the same complaints. Her radiological findings were similar. Meticilin sensitive stafilococus aureus (MSSA) was isolated from the blood cultures and antibiotic theraphy was initiated. To investigate the etiology of the nodules due to septic embolism, echocardiography was performed and infective endocarditis was diagnosed. After the antibiotic theraphy and a tricuspid valve operation her parenchymal nodules disappeared. The final case involved a 51 year old man suffering from fever, fatigue, cough and pain in the left arm for one week. His general status was bad. His radiological findings were also similar to the others. Staphillococcus aureus was isolated from blood and wound culture. Following clinical and radiological findings we thought it was a case of septic pulmonary embolism and antibiotic theraphy was started. Despite the therapy we did not take fever response and he died five days after antibiotic therapy. In conclusion, septic pulmonary embolism should be considered in bilateral cavitary nodular infiltrates and must be managed fast.

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Section: Discussionmentioning

confidence: 99%

“…Although chest radiographs reveal peripheral bilateral poorly marginated lung nodules that have a tendency to cavitate with thick irregular walls, but tend to be non-specific, CT may yield helpful clues that may suggest the diagnosis of septic pulmonary embolism [3,4]. It shows the extent of the disease and potential complications.…”

Section: Discussionmentioning

confidence: 99%

Septic Pulmonary Embolism: three Case Reports

Kayal

Atasoy

et al. 2016

Monaldi Arch Chest Dis

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“…10 The neurological manifestations occur in more than 80% of patients and may include restlessness, acute confusion, altered level of consciousness, focal deficits, and seizures. 1,6,11 Neurological signs and symptoms generally occur after the onset of pulmonary signs and symptoms. 2 Cutaneous signs and symptoms occur in up to 60% of FES patients and include petechiae of the skin and mucous membranes.…”

Section: Discussionmentioning

confidence: 99%

“…6,7,14,15 Treatment must also focus on managing the injuries with early fracture fixation to ensure that no additional fat emboli enter the circulation. 5,6,9,11,15 Because FES is associated with a mortality rate of 5% to 15%, prevention of the syndrome is important. 1,6,7 Treatment options are limited and consist primarily of supportive care.…”

Section: Continued From Page 267mentioning

confidence: 99%

“…9 Upon hospital admission, surgical stabilization of fractures can further reduce the number of circulating fat emboli. 1,5,6,9,11,15 Early detection of FES is essential to prevent complications. This goal can be achieved through frequent and thorough assessments, particularly of the pulmonary, neurological, and integumentary systems, because FES is a diagnosis based on clinical findings.…”

Section: Continued From Page 267mentioning

confidence: 99%

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Fat Embolism Syndrome After Femur Fracture With Intramedullary Nailing: Case Report

Powers

Talbot

2011

American Journal of Critical Care

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Fat embolism syndrome is a life-threatening condition that can develop after orthopedic injury and surgery. This syndrome developed in a 19-year-old man after a traumatic femoral fracture that was surgically repaired with intramedullary nailing. The complications experienced by the patient highlight the importance of prevention and early detection of fat embolism syndrome. Although minimization of the syndrome focuses primarily on prehospital care and early stabilization of a patient's condition, prevention of the potential consequences requires early detection by bedside nurses who care for trauma and orthopedic patients. Detailed nursing assessment and rapid recognition and reporting of the signs and symptoms associated with fat embolism syndrome are key to improving the outcomes of these patients.

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