Septic pulmonary emboli as a complication of peripheral venous cannula insertion

Baidya, Ankita; Ganakumar, Vanishri; Jadon, Ranveer Singh; Ranjan, Piyush; Manchanda, Smita; Sood, Rita

doi:10.5582/ddt.2018.01016

Cited by 9 publications

(4 citation statements)

References 8 publications

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“…A similar case has been reported in the literature recently, but the pathogen was ESBL Klebsiella pneumonia [15]. The authors conclude that peripherally inserted intravenous catheter infections can cause bacteremia and septic emboli.…”

Section: Discussionsupporting

confidence: 80%

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Twito

Sahra

Jahangir

et al. 2021

Case Reports in Critical Care

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Background. Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. The patient responded well to appropriate antibiotics and anticoagulation. Conclusion. Peripherally inserted catheters are an important portal for pathogen entry and need periodic site assessment and frequent evaluation of their need for insertion. Septic pulmonary emboli can also be seen without any evidence of right-sided infective endocarditis.

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Section: Discussionsupporting

confidence: 80%

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Twito

Sahra

Jahangir

et al. 2021

Case Reports in Critical Care

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“…Metastases usually demonstrate a diffuse distribution, while septic emboli usually are peripheral, multiple, round or wedge-shaped, with lower lobe predominance, and may not show contrast enhancement [187]. The suspicion of septic emboli can be supported by the presence of predisposing conditions of infective foci spread (infective endocarditis, infected deep venous thrombosis, periodontal disease) or the presence of some medical devices favoring infection (catheters, venous lines, central venous catheters, pacemaker wires) (Figures 1, 3 and 4) [188,189]. Axial CT scans (lung window) in a 48-year-old male patient with asthenia, fever, and productive cough for several days (a-c).…”

Section: Cavitations and Cystsmentioning

confidence: 99%

Tips and Tricks in Thoracic Radiology for Beginners: A Findings-Based Approach

et al. 2023

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This review has the purpose of illustrating schematically and comprehensively the key concepts for the beginner who approaches chest radiology for the first time. The approach to thoracic imaging may be challenging for the beginner due to the wide spectrum of diseases, their overlap, and the complexity of radiological findings. The first step consists of the proper assessment of the basic imaging findings. This review is divided into three main districts (mediastinum, pleura, focal and diffuse diseases of the lung parenchyma): the main findings will be discussed in a clinical scenario. Radiological tips and tricks, and relative clinical background, will be provided to orient the beginner toward the differential diagnoses of the main thoracic diseases.

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“…Other sources include spread from infected indwelling venous lines and periodontal disease. [15,16] Almost always, the disease affects bilateral lung parenchyma. The septic infarcts are typically seen as multiple peripheral sub-pleural nodules with or without cavitation or necrosis.…”

Section: Septic Embolimentioning

confidence: 99%

Childhood cystic lung diseases – A pictorial review

Bharati

Gala

Manek

et al. 2022

WJWCH

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Cystic changes in the lungs in neonatal age group as well as children are commonly encountered in day-to-day practice of paediatric chest imaging. It is therefore important to know the patterns of cystic disease, many of which are classical with definitive treatment options, to enable appropriate clinical care. This article briefly reviews the common conditions presented in our patient population with cystic changes in the lungs. The lesions have be classified as Congenital or autoimmune and Acquired conditions. The acquired lesions are largely infective in nature and represent a wide variety of infectious conditions.

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Septic pulmonary emboli as a complication of peripheral venous cannula insertion

Cited by 9 publications

References 8 publications

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Tips and Tricks in Thoracic Radiology for Beginners: A Findings-Based Approach

Childhood cystic lung diseases – A pictorial review

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