A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis.
10.4046/trd.2010.69.2.124
- Author:
Ki Jong LEE
1
;
Nha Young KIM
;
Ja Seon KIM
;
Han Kyeol YUN
;
Mi Jung OH
;
Do Hoon KIM
;
Sang Kyun CHO
;
Han Young RYU
;
Young A BAE
;
Dae Bong KIM
;
Mi Kyung SHIN
;
Jae Yong CHIN
Author Information
1. Department of Internal Medicine, DMC Bundang Jesaeng Hospital, Seongnam, Korea. jychin@dmc.or.kr
- Publication Type:Case Report
- Keywords:
Pulmonary Embolism;
Endocarditis;
Methicillin-Resistant Staphylococcus aureus
- MeSH:
Catheters, Indwelling;
Echocardiography;
Endocarditis;
Female;
Fever;
Heart Septal Defects, Ventricular;
Humans;
Methicillin-Resistant Staphylococcus aureus;
Periodontal Diseases;
Pharyngitis;
Pulmonary Artery;
Pulmonary Embolism;
Thorax;
Thrombophlebitis;
Thrombosis;
Tricuspid Valve;
Young Adult
- From:Tuberculosis and Respiratory Diseases
2010;69(2):124-128
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.
