Septic pulmonary emboli: CT-radiographic correlation

Huang, RM; Naidich, David P.; Lubat, E; Schinella, Roger; Garay, Stuart M.; Di, McCauley

doi:10.2214/ajr.153.1.41

Cited by 128 publications

(76 citation statements)

References 12 publications

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“…In some patients air bronchogram formation (28%), feeding vessel sign (67%), pleural effusion and empyema can be observed [3,4]. Although other authors have described a feeding vessel sign as a characteristic feature of SPE, we were able to identify this feature associated with only a minority parenchymal lesions and did not find it particularly helpful in the recognition of SPE.…”

Section: Discussioncontrasting

confidence: 56%

“…In SPE, we can observe bilateral peripherally located nodular lesions with various stages of cavitation and poorly defined outlines on the chest X-rays. Their numbers and sizes may vary with time and the degree of cavitation may change [4]. The main pathological findings on thorax CT are; scattered multiple pulmonary opacities.…”

Section: Discussionmentioning

confidence: 99%

“…They are mostly located in the lower lobes as round nodular lesions or pleural based wedge shaped pulmonary densities. They may be nonspecific and have various sizes and frequently cavitate [1,3,4]. Cavitary parenchymal nodules are presumably due to septic occlusion of small, peripheral pulmonary arterial branches, resulting in the development of metastatic lung abscesses and air-fluid levels may present in some of these cavities [3,4].…”

Section: Discussionmentioning

confidence: 99%

“…In time nodular lesions cavitate and this period is more specific and diagnostic radiologically. Together with clinical findings, multiple peripheral cavitating nodules and wedge shaped peripheral consolidations are highly suggestive of the diagnosis of SPE [1,3,4]. Changes in the thorax CT findings in the follow up period are also helpful in the diagnosis.…”

mentioning

confidence: 95%

“…Early detection of SPE and prompt administration of broad spectrum antibiotics is an important prognostic factor [3]. For this reason findings of computed tomography (CT) of the chest are of great importance [1,3,4]. In many of the articles, thorax CT findings have been well described, but the evolution of the lesions during the disease process have not been documented in detail.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The Evolution of Radiological Lesions due to Septic Pulmonary Embolism

Levent¹,

Sarıman²,

Soylu³

2011

Tur Toraks Der

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A 22 year-old female patient presented with septic pulmonary embolism (SPE) due to infective arthritis with demonstrative thorax CT images that provided early diagnosis and showed the evolution of radiological lesions. Thoracic CT revealed multiple nodular lesions and areas of consolidation with various sizes on both lung fields. Some of them were cavitating and some were pleurally based. Methicillin sensitive Staphylococcus aureus was obtained on culture as the etiologic agent. Clinical improvement was observed on the 6 th day of treatment and the radiological improvement was achieved within a 2 month period. (

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

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The Evolution of Radiological Lesions due to Septic Pulmonary Embolism

Levent¹,

Sarıman²,

Soylu³

2011

Tur Toraks Der

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Lemierre syndrome: Study of 11 cases and literature review

et al. 2013

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Nodular Diseases

2006

Diffuse Lung Diseases

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The subacute form of hypersensitivity pneumonitis (HP) tipically presents a nodular pattern. HP represents a group of diffuse granulomatous parenchymal lung diseases caused by the repeated inhalation of, and sensitization to, a broad variety of low molecular weight organic antigens and chemicals. Clinical presentation may be acute (HP, acute) or chronic (HP, chronic) Extrinsic Allergic Alveolitis (EAA) DEMOGRAPHICS The number of responsible inciting antigens is high (more than 300) and new antigens are constantly being identified. The most commonly known diseases are "Farmer's lung", caused by the inhalation of Faeni rectivirgula present in moldy hay and "Bird fancier's lung", caused by exposure to avian proteins. The subacute form of the disease seems to be produced by a less intense exposure to the inciting antigen than occurs in the acute form. Gell and Coombs type III and type IV immune reactions lie at the basis of the immunopathogenesis of the disease The incidence and prevalence of the disease is difficult to estimate, since individual susceptibility, intensity of exposure in different occupational settings, seasons, geographical areas and proximity of industry vary greatly. The prevalence of "Farmer's lung" varies between 2 and 9%, whereas that of "Bird fancier's lung" varies between 6 and 15% Non-smokers are more commonly affected CLINICAL FEATURES Onset in the subacute form is insidious, with symptoms characterized by slowly worsening cough, dyspnea, fatigue, anorexia and weight loss. Acute exacerbation of symptoms occasionally occurs. In contrast to the acute form, clinical history is not always able to identify a temporal correlation (4-12 h) between onset of symptoms and exposure to the inciting agent (e.g. moldy hay, avian proteins, etc.) Diffuse fine bibasilar rales are often noted on physical examination. Patients may present signs of wasting Patterns include moderate-to-severe restrictive defects and mixed restrictive and obstructive defects. There is hypoxemia at rest and D L CO is reduced in most cases

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Septic pulmonary emboli: CT-radiographic correlation

Cited by 128 publications

References 12 publications

The Evolution of Radiological Lesions due to Septic Pulmonary Embolism

The Evolution of Radiological Lesions due to Septic Pulmonary Embolism

Lemierre syndrome: Study of 11 cases and literature review

Nodular Diseases

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