�NTERAKT�F OLGU SUNUMU:  Di� Apsesine Sekonder Geli�en Septik Pulmoner Emboli Olgusu

Sar�ayd�n, Muzaffer; Balc�, Ayd�n; Ula�l�, Sevin� Sar�n�; G�nay, Ersin; Demir, Se�il; �nl�, Mehmet

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�NTERAKT�F OLGU SUNUMU: Di� Apsesine Sekonder Geli�en Septik Pulmoner Emboli Olgusu [Respir Case Rep]

Respir Case Rep. 2016; 5(2): 89-92 | DOI: 10.5505/respircase.2016.28247

�NTERAKT�F OLGU SUNUMU: Di� Apsesine Sekonder Geli�en Septik Pulmoner Emboli Olgusu

Muzaffer Sar�ayd�n, Ayd�n Balc�, Sevin� Sar�n� Ula�l�, Ersin G�nay, Se�il Demir, Mehmet �nl�
Afyon Kocatepe �niversitesi G��s Hastal�klar� Ana Bilim Dal�, Afyonkarahisar

Septik pulmoner embolide, primer enfeksiyon oda��ndaki fibrin i�ine yerle�mi� mikroorganizmalar� i�eren tromb�s pulmoner arterlere yerle�mektedir. Her iki akci�er parankiminde genellikle multipl ve bilateral nod�ler, kaviter veya kama �eklinde infiltrasyonlara yol a�ar. Altm�� sekiz ya��nda erkek hasta ate� ve g��s a�r�s� �ikayeti ile poliklini�imize ba�vurdu. Akci�er grafisinde sa� hemitoraksta plevral ef�zyon ve birka� adet kaviter lezyon g�r�ld�. Toraks bilgisayarl� tomografisinde bilateral multipl kaviter lezyonlar ve sa� hemitoraksta plevral ef�zyon izlendi. Hastan�n ayr�nt�l� anamnezinde 20 g�n �nce di� apsesi nedeniyle �� g�n antibiyotik tedavisi kulland�� renildi. Klini�imizde seftriak-son ve metronidazol tedavisi ba�land� ve h�zl� klinik iyile�me g�zlendi. Hastaya bu klinik ve radyolojik bulgular� ile septik pulmoner emboli tan�s� konuldu. Septik pulmoner embolinin nadir ancak ciddi sonu�lar� olmas�ndan dolay�, ayr�nt�l� anamnez ve radyolojik bulgular ile tan�ya ula�man�n kolayl��n� vurgulamak amac� ile bu olguyu sunduk.

Anahtar Kelimeler: Septik Pulmoner Emboli, Di� Apsesi, Bilgisayarl� Tomografi

INTERACTIVE CASE REPORT: A Case of Septic Pulmonary Embolism Secondary to Tooth Abscess

Muzaffer Sar�ayd�n, Ayd�n Balc�, Sevin� Sar�n� Ula�l�, Ersin G�nay, Se�il Demir, Mehmet �nl�
Department of Pulmonary Medicine, Afyon Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey

Septic pulmonary embolism is a disease which spreads of infectious microorganisms embedded in arterial fibrins. It usually causes multiple or bilateral nodular infiltrates and wedge-shaped cavity on bilateral lung parenchyma. A 68-year-old male patient admitted to our clinic with complaints of chest pain and fever. A few cavitary lesions and right-sided pleural effusion were identified on chest X-ray. Thoracic computed tomography revealed bilateral multiple cavitary lesions and pleural effusion in the right hemithorax. Based on his medical history, he received a non-specific antibiotic medi-cation for three days for tooth abscess approximately 20 days ago. Then, treatment was initiated with ceftriaxone and metronidazole. Rapid clinical improvement was observed. With these clinical and radiological findings, the diagnosis of septic pulmonary embolism was made. We present this case to highlight the importance of early diagnosis with detailed medical history and radiological findings of this rare disease with possible serious consequences.

Keywords: Septic Pulmonary Embolism, Tooth Abscess, Computed Tomography

Olgunun G�r�nt� Kesitleri

Sorumlu Yazar: Muzaffer Sar�ayd�n, T�rkiye
Makale Dili: T�rk�e

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