A case of septic pulmonary embolism caused by P. aeruginosa in a hemodialysis patient and review of the literature

Shimada, Hiroki; Tanaka, Mari; Takami, Yohtaro; Teragaki, M; Maeda, Kotaro; Saita, Hirona; Nishikawa, Seira; Taniguchi, Keisuke; Iwanari, Sachio; Ikeda, Masaki; Takeoka, Hiroya

doi:10.1186/s41100-020-00262-3

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…Pulmonary embolisms complicate 14% of infective endocarditis [5]. In approximatively 60% of cases, the right heart is the one concerned with endocarditis and the lesions are always multiple [5][6][7]. The transthoracic echocardiography in our case showed large vegetations of the tricuspid valve, with hypokinetic cardiomyopathy and minimal pericardial effusion.…”

Section: Discussionmentioning

confidence: 57%

Pulmonary Embolism Complicating Infective Endocarditis: A Pediatric Case Report

Mezdaoui,

Benbrahim,

Elhafidi

et al. 2023

AJPR

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Aims: The study was to highlight pulmonary embolism that is considered a serious and potentially deadly disease. Its incidence in children is probably underestimated and cases reported in the literature, particularly in pediatrics, are rare. Presentation of Case: we report the case of an 11-year-old male child diagnosed with pulmonary embolism complicating infective endocarditis. A thoracic CT angiography confirmed a distal pulmonary embolus, aneurysms of the lobar and segmental branches of the pulmonary artery and nodules and excavated pulmonary masses in favor of septic emboli. The evolution was unfavorable despite anticoagulant treatment and adequate antibiotherapy. Discussion: an overview of septic embolism associated with infective endocarditis will be the main topic focusing on key diagnostic and therapeutic choices. An early pulmonary CT angiography in case of any thoracic symptoms that do not evolve favorably in a child is highly recommended. Conclusion: The identification of other pediatric cases will be useful in order to establish diagnostic and therapeutic guidelines specific to the pediatric population.

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Section: Discussionmentioning

confidence: 57%

Pulmonary Embolism Complicating Infective Endocarditis: A Pediatric Case Report

Mezdaoui,

Benbrahim,

Elhafidi

et al. 2023

AJPR

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Baseline characteristics and analysis of predictors of the Outcome of septic pulmonary embolism in children: a retrospective observational study

Elmeazawy

Amrousy

2023

BMC Pediatr

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Background Septic pulmonary embolism is a rare disease in children. We aimed to assess the clinical, microbiological, and radiological characteristics and outcomes of pediatric septic pulmonary embolism (SPE) and to identify any predictive factors for in-hospital mortality in patients with this unusual disease to enhance prognosis and treatment. Methods A retrospective study to search the electronic medical records of children admitted to the pediatric pulmonology unit, Tanta University hospital with the diagnosis of SPE between January 2015 and June 2022. Results Seventeen pediatric patients were identified; ten males and seven females with a mean age of 9.4 ± 5.2 years. The most common presenting complaints were fever and shortness of breath (n = 17) followed by chest pain (n = 9), pallor (n = 5), limb swelling (n = 4), and back pain (n = 1). Methicillin-resistant Staphylococcus aureus (MRSA) was the most common causative pathogen in nine patients. The most common extra-pulmonary septic foci were septic arthritis in five patients (29.4%), septic thrombophlebitis in four patients (23.5%), and infective endocarditis in two patients (11.8%). All patients exhibited wedge-shaped peripheral lesions and feeding vessel sign in CT chest, whereas bilateral diffuse lesions, nodular lesions, and cavitation were present in 94.1% of patients, pleural effusion was identified in 58.8% of patients, and pneumothorax was detected in 41.2% of patients. Fifteen patients improved and survived (88.2%), while two patients died (11.8%). Conclusion Early diagnosis of SPE with vigorous early therapy is critical for a better outcome, including appropriate antibiotics and timely surgical interference to eradicate extra-pulmonary septic foci.

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A case of septic pulmonary embolism caused by P. aeruginosa in a hemodialysis patient and review of the literature

Cited by 2 publications

References 20 publications

Pulmonary Embolism Complicating Infective Endocarditis: A Pediatric Case Report

Pulmonary Embolism Complicating Infective Endocarditis: A Pediatric Case Report

Baseline characteristics and analysis of predictors of the Outcome of septic pulmonary embolism in children: a retrospective observational study

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