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Tuberculosis & Respiratory Diseases

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Vol.69 No.2
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Case Reports : A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2010, v.69 no.2, pp.124-128












& (2010). Case Reports : A Case of Septic Pulmonary Embolism Associated with MRSA Infective Endocarditis. Tuberculosis & Respiratory Diseases, 69(2), 124-128.
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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.

keywords
Pulmonary Embolism, Endocarditis, Methicillin-Resistant Staphylococcus aureus, Pulmonary Embolism, Endocarditis, Methicillin-Resistant Staphylococcus aureus

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