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KMID : 0383820100690020124
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Tuberculosis and Respiratory Diseases
2010 Volume.69 No. 2 p.124 ~ p.128
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A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis
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Lee Ki-Jong
Kim Nha-Young
Kim Ja-Seon
Yun Han-Kyeol
Oh Mi-Jung
Kim Do-Hoon
Cho Sang-Kyoon
Ryu Han-Young
Bae Young-A
Kim Dae-Bong
Shin Mi-Kyung
Chin Jae-Yong
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Abstract
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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.
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KEYWORD
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Pulmonary Embolism, Endocarditis, Methicillin-Resistant Staphylococcus aureus
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