Spiral CT findings in septic pulmonary emboli

Iwasaki, Yoshinobu; Nagata, Kazuhiro; Nakanishi, Masaki; Natuhara, Atushi; Harada, Hidehiko; Kubota, Yutaka; Yokomura, Ichiro; Hashimoto, Shinichi; Nakagawa, Masao

doi:10.1016/s0720-048x(00)00254-0

Cited by 83 publications

(52 citation statements)

References 15 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].…”

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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“…It is also helpful to detect complications and to follow the progression of the disease [1]. This case report describes the longitudinal changes in clinical radiological appearances over time.…”

Section: Discussionmentioning

confidence: 99%

“…Various infectious etiologies may cause septic pulmonary emboli (SPE); among them the cardiovascular system is the main source [1]. Coagulated blood that leads to infarcts in the pulmonary vascular bed also contains microorganisms that initiate focal abscess formation [2].…”

Section: Introductionmentioning

confidence: 99%

“…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%

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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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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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