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http://dx.doi.org/10.4046/trd.2010.69.2.124

A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis  

Lee, Ki-Jong (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Kim, Nha-Young (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Kim, Ja-Seon (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Yun, Han-Kyeol (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Oh, Mi-Jung (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Kim, Do-Hoon (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Cho, Sang-Kyun (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Ryu, Han-Young (Department of Chest Surgery, DMC Bundang Jesaeng Hospital)
Bae, Young-A (Department of Diagnostic Radiology, DMC Bundang Jesaeng Hospital)
Kim, Dae-Bong (Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine)
Shin, Mi-Kyung (Department of Anatomical Pathology, Hallym University College of Medicine)
Chin, Jae-Yong (Department of Internal Medicine, DMC Bundang Jesaeng Hospital)
Publication Information
Tuberculosis and Respiratory Diseases / v.69, no.2, 2010 , pp. 124-128 More about this Journal
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.
Keywords
Pulmonary Embolism; Endocarditis; Methicillin-Resistant Staphylococcus aureus;
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