A case of septic pulmonary embolism caused by urinary tract infection

Okada, Yohei; Kamata, Shigeyoshi; Kawakami, Satoru; Yamada, Terumasa

doi:10.1590/1677-553820133806857

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Klebsiella pneumoniae is a gram-negative rod-shaped bacterium belonging to the Enterobacteriaceae family. Although it is very rare for SPE to develop purely from pyelonephritis with Klebsiella pneumoniae as in this case, it is well known that renal cell carcinoma can form tumor thrombus and metastasize to the lungs via the venous circulation rather than through lymphatic spread [ 8 ]; therefore, it can be explained that a “metastatic infection” develops from the pathway of renal vein, inferior vena cava, and right ventricular system to pulmonary artery.…”

Section: Discussionmentioning

confidence: 99%

A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus

Katsumata¹,

Miura²,

Takizawa³

et al. 2023

Cureus

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Septic pulmonary embolism (SPE) is caused by the microbe that is responsible for any clinical condition that may include urinary tract infections as in this case. We report a case of pyelonephritis with Klebsiella pneumoniae that led to SPE in an 80-year-old woman with poorly controlled diabetes mellitus (DM). Computed tomography (CT) revealed multiple nodules in the peripheral area of the bilateral lung and a contrast defect in the right renal vein, which was suspected to be an embolism. Blood and urine cultures revealed Klebsiella pneumoniae infection. These results confirmed the diagnosis of pyelonephritis and SPE. Treatment with ceftriaxone, cefazolin, and ciprofloxacin improved the patient’s condition.

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Section: Discussionmentioning

confidence: 99%

A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus

Katsumata¹,

Miura²,

Takizawa³

et al. 2023

Cureus

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Penile Methicillin-Resistant Staphylococcus aureus Infection–Associated Dry Penile Gangrene and Pulmonary Septic Emboli

Hong¹,

Lu²,

Wang³

2017

The American Journal of the Medical Sciences

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Lethal septic pulmonary thromboembolism in a repatriated body – a rare complication of prolonged urinary catheterization

Harvey,

Gilbert,

Byard

2024

Med Sci Law

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A case of septic pulmonary thromboembolism arising from thrombophlebitis of the prostatic venous plexus associated with long-term urinary catheterisation in a 51-year-old man is reported. Despite a previous autopsy having been conducted in the country where he had been resident overseas, a re-examination showed histological evidence of mild patchy chronic prostatitis with a florid, focally purulent, thrombophlebitis of the periprostatic venous plexus with abscess formation and evidence of bacterial overgrowth. Corresponding microscopy of the lungs showed septic microthromboemboli within small pulmonary arteries with variable degrees of necrotising acute inflammation and thrombosis. Death was not due to ‘acute pulmonary oedema’ as had been originally certified but to septic thromboembolism. This case demonstrates the need to carefully evaluate the prostatic venous plexus at autopsy, and also the type of problems that may arise at the time of the re-examination of repatriated remains.

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A case of septic pulmonary embolism caused by urinary tract infection

Cited by 3 publications

References 3 publications

A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus

A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus

Penile Methicillin-Resistant Staphylococcus aureus Infection–Associated Dry Penile Gangrene and Pulmonary Septic Emboli

Lethal septic pulmonary thromboembolism in a repatriated body – a rare complication of prolonged urinary catheterization

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