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ISSN 1028-4818 (Electronic)

2015, Number 2

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Mul Med 2015; 19 (2)

Septic pulmonary embolism as a manifestation of the severe sepsis in the puerperium. A case presentation

González AJC, Vázquez BYE, Dorta RE, Olivares MA, Aguilera PI

Language: Spanish
References: 12
Page:
PDF size: 204.78 Kb.


ABSTRACT

Introduction: septic pulmonary embolism is an infrequent syndrome. It is characterized by the embolization from an infection point, a pathogen formed thrombus and fibrin, to the pulmonary vascular system and its secondary infection.
Case presentation: a 20 year-old-female patient with severe acute endometritis after cesarean delivery, organ dysfunction and Staphylococcus aureus bacteremia; and secondary pyodermitis to this bacterium. Fever, right pleuritic pain, dyspnea, cough and expectoration. The computerized axial tomography of the lung showed hyperdense, homogeneous image, and wedge-shaped form with sub pleural base in the middle lobe of the right lung and cavity images disseminated in both lung fields with predominance of the lower lobes, with regular internal and external contours, air therein; some confluents and other sub pleural located.
Discussion: septic pulmonary embolism is a serious but weird syndrome. It constitutes a diagnostic challenge for the wide range of clinical manifestations with which it is presented and the diverse etiologies that cause it.
Conclusions: The presence of bacteremia, fever and respiratory symptoms, with cavity lesions on computerized axial tomography of the lung contributed to the diagnosis of septic pulmonary embolism.


REFERENCES

  1. Ye R, Zhao L, Wang C, Wu X, Yan H. Clinical characteristics of septic pulmonary embolism in adults: a systematic review. Respir Med.[Internet]. 2014 Ene [citado 18 Ene 2015]; 108 (1): 1-8. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24183289

  2. Brenes JA, Goswami U, Williams D. The Association of Septic Thrombophlebitis with Septic Pulmonary Embolism in Adults. Open Respir Med J. [Internet]. 2012 May [citado 18 Ene 2015]; 6: 14-9. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3355351/

  3. Holland TL, Arnold C, Fowler VG. Clinical management of Staphylococcus aureus bacteremia: a review. JAMA. [Internet]. 2014 Oct [citado 18 Ene 2015]; 312 (13): 1330-41. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25268440

  4. Goswami U, Brenes JA, Punjabi GV, LeClaire MM, Williams DN. Associations and outcomes of septicpulmonary embolism. Open Respir Med J. [Internet]. 2014 Jul [citado 18 Ene 2015]; 8: 28-33. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4150379/

  5. Haider I, Gupta R, Song S. Mobile vegetation leading to septic pulmonary embolism. Lung India. [Internet]. 2014 Oct-Dic [citado 18 Ene 2015]; 31(4):429-30. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25378864/

  6. Hagiya H, Kuroe Y, Nojima H, Otani S, Sugiyama J, Naito H, et al. Emphysematous liver abscesses complicated by septic pulmonary emboli in patients with diabetes: two cases. Intern Med. [Internet]. 2013 Ene [citado 18 Ene 2015]; 52 (1): 141-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/23291690

  7. Okada Y, Kamata S, Kawakami S, Yamada T. A case of septic pulmonary embolism caused by urinary tract infection. Int Braz J Urol [Internet]. 2012 Nov-Dic [citado 18 Ene 2015]; 38 (6): 857-8. Disponible en: http://www.scielo.br/scielo.php?pid=S1677-55382012000600857&script=sci_arttext

  8. Jung JS, Lee SM, Kim HJ, Jang SH, Lee JW. A case of septic pulmonary embolism associated with renal abscess mimicking pulmonary metastases of renal malignancy. Ann Nucl Med. [Internet].2014 May [citado 18 Ene 2015]; 28 (4): 381-5. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24481822

  9. Ubukata S, Jingu D, Yajima T, Shoji M, Takahashi H. A case of septic pulmonary embolism due to Peptostreptococcus micros with multiple infection of the head and neck. Kansenshogaku Zasshi. [Internet]. 2013 Nov. [citado 18 Ene 2015];87 (6): 761-6 Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24483025

  10. Abel Nour SM, Mehta JB, Roy TM, Byrd RP Jr. Veillonella as a cause for septic pulmonary emboli. Tenn Med. [Internet]. 2013 Nov-Dic [citado 18 Ene 2015]; 106(10):39-40. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24282838

  11. Yasuda M, Inokuchi R, Ohshima K, Yamamoto M, Tokunaga K, Fukuda T, et al. Linezolid is a novel and effective treatment for septic pulmonary embolism. Am J Emerg Med. [Internet].2015 Ene [citado 18 Ene 2015]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/25630385

  12. Vázquez-Guillamet C, Kollef MH. Treatment o f gram - positive infections in critically ill patients. BMC Infectious Diseases. [Internet].2014 [citado 18 Ene 2015]; 14: 92. Disponible en: http://www.biomedcentral.com/1471-2334/14/92




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