A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis.

Lee, Ki Jong; Kim, Nha Young; Kim, Ja Seon; Yun, Han Kyeol; Oh, Mi Jung; Kim, Do Hoon; Cho, Sang Kyun; Ryu, Han Young; Bae, Young A; Kim, Dae Bong; Shin, Mi Kyung; Chin, Jae Yong

doi:2010.69.2.124

Tuberc Respir Dis > Volume 69(2); 2010 > Article

Case Report

Tuberculosis and Respiratory Diseases 2010;69(2):124-128.
DOI: https://doi.org/10.4046/trd.2010.69.2.124 Published online August 1, 2010.

A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis.

Ki Jong Lee, Nha Young Kim, Ja Seon Kim, Han Kyeol Yun, Mi Jung Oh, Do Hoon Kim, Sang Kyun Cho, Han Young Ryu, Young A Bae, Dae Bong Kim, Mi Kyung Shin, Jae Yong Chin

¹Department of Internal Medicine, DMC Bundang Jesaeng Hospital, Seongnam, Korea. jychin@dmc.or.kr
²Department of Chest Surgery, DMC Bundang Jesaeng Hospital, Seongnam, Korea.
³Department of Diagnostic Radiology, DMC Bundang Jesaeng Hospital, Seongnam, Korea.
⁴Department of Radiology, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea.
⁵Department of Anatomical Pathology, Hallym University College of Medicine, Seoul, Korea.

Abstract

Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.

Key Words: Pulmonary Embolism, Endocarditis, Methicillin-Resistant Staphylococcus aureus

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