An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient
Septic pulmonary embolism (SPE) is a rare clinical presentation mostly seen in patients who are immunocompromised, in which septic thrombi from an infectious nidus are transported in the vascular system of the lungs. We report a patient presenting with features of sepsis and respiratory distress; ch...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Archives of Medicine and Health Sciences |
| Subjects: | |
| Online Access: | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=296;epage=298;aulast=Prakash |
| _version_ | 1828355588453564416 |
|---|---|
| author | Ved Prakash Ajay Kumar Verma Ankit Bhatia Virendra Kumar Surya Kant Karthik Nagaraju |
| author_facet | Ved Prakash Ajay Kumar Verma Ankit Bhatia Virendra Kumar Surya Kant Karthik Nagaraju |
| author_sort | Ved Prakash |
| collection | DOAJ |
| description | Septic pulmonary embolism (SPE) is a rare clinical presentation mostly seen in patients who are immunocompromised, in which septic thrombi from an infectious nidus are transported in the vascular system of the lungs. We report a patient presenting with features of sepsis and respiratory distress; chest X-ray and computed tomography (CT) thorax of whom showed multiple bilateral small thick-walled cavities associated with right pleural effusion. He was found to have a septic source of Enterococcus sp. cultured from a perianal abscess with the same bacteremia. Pulmonary septic embolism from the abscess was diagnosed by radiology and correlation of bacteremia from septic foci and blood culture. The clinical condition improved with surgical management of the perianal abscess and appropriate antibiotic treatment. |
| first_indexed | 2024-04-14T02:44:54Z |
| format | Article |
| id | doaj.art-a39ea21e48024e12b09472764874f11a |
| institution | Directory Open Access Journal |
| issn | 2321-4848 |
| language | English |
| last_indexed | 2024-04-14T02:44:54Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Archives of Medicine and Health Sciences |
| spelling | doaj.art-a39ea21e48024e12b09472764874f11a2022-12-22T02:16:35ZengWolters Kluwer Medknow PublicationsArchives of Medicine and Health Sciences2321-48482015-01-013229629810.4103/2321-4848.171929An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patientVed PrakashAjay Kumar VermaAnkit BhatiaVirendra KumarSurya KantKarthik NagarajuSeptic pulmonary embolism (SPE) is a rare clinical presentation mostly seen in patients who are immunocompromised, in which septic thrombi from an infectious nidus are transported in the vascular system of the lungs. We report a patient presenting with features of sepsis and respiratory distress; chest X-ray and computed tomography (CT) thorax of whom showed multiple bilateral small thick-walled cavities associated with right pleural effusion. He was found to have a septic source of Enterococcus sp. cultured from a perianal abscess with the same bacteremia. Pulmonary septic embolism from the abscess was diagnosed by radiology and correlation of bacteremia from septic foci and blood culture. The clinical condition improved with surgical management of the perianal abscess and appropriate antibiotic treatment.http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=296;epage=298;aulast=PrakashAbscessembolismperianalseptic |
| spellingShingle | Ved Prakash Ajay Kumar Verma Ankit Bhatia Virendra Kumar Surya Kant Karthik Nagaraju An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient Archives of Medicine and Health Sciences Abscess embolism perianal septic |
| title | An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient |
| title_full | An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient |
| title_fullStr | An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient |
| title_full_unstemmed | An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient |
| title_short | An unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient |
| title_sort | unusual source of septic pulmonary embolism perianal abscess in an immunocompetent patient |
| topic | Abscess embolism perianal septic |
| url | http://www.amhsjournal.org/article.asp?issn=2321-4848;year=2015;volume=3;issue=2;spage=296;epage=298;aulast=Prakash |
| work_keys_str_mv | AT vedprakash anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT ajaykumarverma anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT ankitbhatia anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT virendrakumar anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT suryakant anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT karthiknagaraju anunusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT vedprakash unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT ajaykumarverma unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT ankitbhatia unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT virendrakumar unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT suryakant unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient AT karthiknagaraju unusualsourceofsepticpulmonaryembolismperianalabscessinanimmunocompetentpatient |