Septic Pulmonary Embolism

Cook, Rachel J.; Ashton, Rendell W.; Aughenbaugh, Gregory L.; Ryu, Jay H.

doi:10.1378/chest.128.1.162

Cited by 227 publications

(131 citation statements)

References 19 publications

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“…Its main source is the cardiovascular system [3]. Septic pulmonary embolism is commonly associated with tricuspid valve endocarditis but may also occur in patients with infections from indwelling catheters and pacemaker wires, peripheral septic thrombophlebitis, arteriovenous shunts for hemodialysis and organ transplants [1]. Intravenous drug abuse, soft tissue, odontogenic, tonsillary and pelvic infections have also been reported as sources.…”

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%

“…Clinical and radiologic features at presentation are usually nonspecific, and the diagnosis of this disorder is frequently delayed [1]. The most common causes include bacterial endocarditis, infected venous catheters, and odontogenic infections.…”

Section: Introductionmentioning

confidence: 99%

Septic Pulmonary Embolism: three Case Reports

Kayal

Atasoy

et al. 2016

Monaldi Arch Chest Dis

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“…Coagulated blood that leads to infarcts in the pulmonary vascular bed also contains microorganisms that initiate focal abscess formation [2]. Early detection of SPE and prompt administration of broad spectrum antibiotics is an important prognostic factor [3].…”

Section: Introductionmentioning

confidence: 99%

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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“…Septic pulmonary embolus (SPE) is a rare disorder typically presenting with fever, respiratory symptoms, and lung infiltrates (1). The major risk factors leading to SPE include intravenous drug abuse (IVDA), pelvic thrombophlebitis, an immunocompromised state, head and neck infections, endocarditis, and indwelling intravenous (i.v.)…”

Section: Introductionmentioning

confidence: 99%

“…The major risk factors leading to SPE include intravenous drug abuse (IVDA), pelvic thrombophlebitis, an immunocompromised state, head and neck infections, endocarditis, and indwelling intravenous (i.v.) catheters (1). The treatment of septic pulmonary embolus revolves around identifying and treating the source.…”

Section: Introductionmentioning

confidence: 99%