Clinical characteristics of septic pulmonary embolism in adults: A systematic review

Abstract

SPE is a rare disease without specific clinical manifestations. For high-risk groups, such as intravenous drug users or patients with intravascular indwelling catheters, fever and imaging findings of multiple nodules or local infiltrates, with or without cavitation, are highly suggestive of SPE. Early diagnosis and prompt antimicrobial therapy or surgical intervention can lead to a successful treatment outcome.

Septic pulmonary emboli as a complication of peripheral venous cannula insertion

“…The most common symptom is fever (93%) followed by chest pain, respiratory distress, cough and hemoptysis (8). Respiratory symptoms are present in less than 50% of cases of septic pulmonary emboli and so demand a high index of clinical suspicion to promptly administer intravenous antibiotics for good prognosis.…”

Pathway and application value of exploration of the pulmonary artery by endobronchial ultrasound

“…For central thromboembolism patients with stable haemodynamics, at least one pulmonary embolism is detected by EBUS for each enrolled patient (7). Non-thromboembolic pulmonary vascular lesions include pulmonary artery sarcoma (16)(17)(18)(19)(20), pulmonary artery metastasis of tumors (21)(22)(23)(24) or septic pulmonary artery embolisms (25,26). Considering the high sensitivity and specificity of EBUS-TBNA in the diagnosis of mediastinal and hilar tumors, and the high risk associated with these tumors for pulmonary embolism, the exploration and evaluation of the pulmonary artery to identify possible pulmonary embolism when performing EBUS-TBNA has potentially important clinical significance.…”

The Characteristic Features of Our Cases With Diagnosis of Pulmonary Septic Embolism

“…During first weeks of treatment, decrease in fever, sedimentation rate, and CRP levels were observed, and on first week follow-up AP pulmonary radiograms, pathological signs had regressed markedly. In a largescale review study conducted by Ye et al, [15] 76 articles and 168 case reports were reviewed, and 122 cases with treatment regimen were examined. It was reported that most frequently (n=38) initiated empirical antibiotherapies were penicillins and cephalosporins.…”