A patient with fever and an abnormal roentgenogram

Cohen, Robert; Rossoff, Leonard J.

doi:10.1183/09031936.94.07091719

Eur Respir J

1994

DOI: 10.1183/09031936.94.07091719

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A patient with fever and an abnormal roentgenogram

Robert Cohen¹,

Leonard J. Rossoff²

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2002

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“…[1][2][3][4] The most common radiographic findings of septic PE are the presence of bilateral multiple cavitary nodules in the lung periphery. [5][6][7] In adult patients, the septic emboli are frequent complications of right sided bacterial endocarditis, septic thrombophlebitis, or occasionally osteomyelitis.…”

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Clinical and radiographic spectrum of septic pulmonary embolism

Wong¹

2002

Archives of Disease in Childhood

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Aims: To review the clinical presentation, radiographic findings, and outcome of therapy in children with septic pulmonary embolism. Methods: Retrospective analysis of patients in a tertiary paediatric facility in northern Taiwan. Results: Ten children were identified with septic pulmonary emboli in a four year retrospective chart review between 1998 and 2001. Seven were immunocompetent, two were premature infants, one had β thalassemia major. Seven had community acquired staphylococcal infections and bacteraemia, of which six were methicillin resistant Staphylococus aureus (MRSA) isolates. Five had soft tissue infections, two bone infections, one suppurative otitis media, one catheter related infection, and one unknown foci of infection. Multiple and bilateral nodular pulmonary parenchymal lesions were common on plain chest radiographs, but chest computed tomography scans showed the additional findings of a "vessel sign" and central cavitations, confirming the existence of septic pulmonary embolism. Conclusions: Community acquired MRSA infections occurred in seven patients with septic pulmonary embolism but without predisposing high risk factors. Critically ill children with skin, soft tissue, or bone infections, when associated with septic pulmonary embolism in an area with a high rate of MRSA, should be empirically treated with glycopeptides (such as vancomycin or teicoplanin) before susceptibility results are known, in order to minimise morbidity and avoid mortality.

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confidence: 99%

Clinical and radiographic spectrum of septic pulmonary embolism

Wong¹

2002

Archives of Disease in Childhood

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A patient with fever and an abnormal roentgenogram

Cited by 1 publication

References 5 publications

Clinical and radiographic spectrum of septic pulmonary embolism

Clinical and radiographic spectrum of septic pulmonary embolism

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