Septic pulmonary emboli as a complication of peripheral venous cannula insertion

Baidya, Ankita; Ganakumar, Vanishri; Jadon, Ranveer Singh; Ranjan, Piyush; Manchanda, Smita; Sood, Rita

doi:10.5582/ddt.2018.01016

Cited by 8 publications

(3 citation statements)

References 8 publications

(5 reference statements)

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“…A similar case has been reported in the literature recently, but the pathogen was ESBL Klebsiella pneumonia [15]. The authors conclude that peripherally inserted intravenous catheter infections can cause bacteremia and septic emboli.…”

Section: Discussionsupporting

confidence: 80%

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Twito

Sahra

Jahangir

et al. 2021

Case Reports in Critical Care

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Background. Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. The patient responded well to appropriate antibiotics and anticoagulation. Conclusion. Peripherally inserted catheters are an important portal for pathogen entry and need periodic site assessment and frequent evaluation of their need for insertion. Septic pulmonary emboli can also be seen without any evidence of right-sided infective endocarditis.

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Section: Discussionsupporting

confidence: 80%

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Twito

Sahra

Jahangir

et al. 2021

Case Reports in Critical Care

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“…Other sources include spread from infected indwelling venous lines and periodontal disease. [15,16] Almost always, the disease affects bilateral lung parenchyma. The septic infarcts are typically seen as multiple peripheral sub-pleural nodules with or without cavitation or necrosis.…”

Section: Septic Embolimentioning

confidence: 99%

Childhood cystic lung diseases – A pictorial review

Bharati

Gala

Manek

et al. 2022

WJWCH

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Cystic changes in the lungs in neonatal age group as well as children are commonly encountered in day-to-day practice of paediatric chest imaging. It is therefore important to know the patterns of cystic disease, many of which are classical with definitive treatment options, to enable appropriate clinical care. This article briefly reviews the common conditions presented in our patient population with cystic changes in the lungs. The lesions have be classified as Congenital or autoimmune and Acquired conditions. The acquired lesions are largely infective in nature and represent a wide variety of infectious conditions.

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“…TVIE resulting from peripheral venous lines is a relatively uncommon entity[ 1 , 6 ]. However, independent risk factors of TVIE have been shown include local cellulitis, use of infusion pumps, and insertion of a cannula in the lower extremity[ 12 , 13 ]. Dialysis patients often have a greater burden of co-morbidities, including diabetes, hypertension and atrial fibrillation, in addition to end-stage renal disease[ 11 ].…”

Section: Epidemiologymentioning

confidence: 99%

Tricuspid valve endocarditis: Cardiovascular imaging evaluation and management

Fava¹,

Xu²

2021

WJCC

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Right-sided infective endocarditis is an increasingly recognized disease entity, with tricuspid valve being most frequently involved. Risk factors for tricuspid valve endocarditis (TVIE) include intravenous drug use, cardiac implantable electronic devices and indwelling catheters. Staphylococcus aureus is the predominant causative organism in TVIE. The diagnosis of infective endocarditis (IE) is based on clinical manifestations, blood cultures, and the presence of valvular vegetations detected by echocardiography. Complementary imaging is helpful when there is ongoing clinical suspicion for IE following initially negative echocardiography. Multislice computed tomography allows for assessment of extra-cardiac complications in TVIE, including pulmonary septic emboli. 18F-fluorodeoxyglucose positron emission tomography/computed tomography and radiolabelled white blood cell, single-photon emission computed tomography provide important clinical information concerning the presence of IE in right-sided prosthetic valves or cardiac implantable electronic devices. The aim of this review is to provide an update on TVIE, discussing the role of multimodality imaging in TVIE and the management of these patients.

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Septic pulmonary emboli as a complication of peripheral venous cannula insertion

Cited by 8 publications

References 8 publications

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Childhood cystic lung diseases – A pictorial review

Tricuspid valve endocarditis: Cardiovascular imaging evaluation and management

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