Large septic pulmonary embolus complicating streptococcus mutans pulmonary valve endocarditis.

Autor:	Inchaustegui CA; Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru., Wang KY; Department of Radiology, Baylor College of Medicine, Houston, Texas, USA., Teniola O; Department of Radiology, Baylor College of Medicine, Houston, Texas, USA., De Rosen VL; Department of Radiology, Baylor College of Medicine, Houston, Texas, USA.
Jazyk:	angličtina
Zdroj:	Journal of radiology case reports [J Radiol Case Rep] 2018 Feb 28; Vol. 12 (2), pp. 18-27. Date of Electronic Publication: 2018 Feb 28 (Print Publication: 2018).
DOI:	10.3941/jrcr.v12i2.3240
Abstrakt:	Large septic pulmonary embolus is a rare finding in right-sided endocarditis. The entity represents a challenging diagnosis due to its variable and nonspecific clinical and radiological presentation and similarities with other conditions. We present a case of a 41 year-old woman who developed a large main pulmonary artery embolus and bilateral cavitary lung nodules in the setting of severe sepsis. Pulmonary artery exploration and clot retrieval ultimately revealed a large septic embolus from Streptococcus mutans native pulmonary valve endocarditis. The diagnosis of septic pulmonary emboli from right-sided endocarditis should be considered in patients with ancillary findings of septic embolic phenomenon, particularly the presence of multifocal cavitary nodules and in the setting of appropriate predisposing factors.
Databáze:	MEDLINE
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