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

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

Muzaffer Sarýaydýn, Aydýn Balcý, Sevinç Sarýnç Ulaþlý, Ersin Günay, Seçil Demir, Mehmet Ünlü
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

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ÝNTERAKTÝF OLGU SUNUMU: Diþ Apsesine Sekonder Geliþen Septik Pulmoner Emboli Olgusu

Muzaffer Sarýaydýn, Aydýn Balcý, Sevinç Sarýnç Ulaþlý, Ersin Günay, Seçil Demir, Mehmet Ünlü
Afyon Kocatepe Üniversitesi Göðüs Hastalýklarý Ana Bilim Dalý, Afyonkarahisar

Septik pulmoner embolide, primer enfeksiyon odaðýndaki fibrin içine yerleþmiþ mikroorganizmalarý içeren trombüs pulmoner arterlere yerleþmektedir. Her iki akciðer parankiminde genellikle multipl ve bilateral nodüler, kaviter veya kama þeklinde infiltrasyonlara yol açar. Altmýþ sekiz yaþýnda erkek hasta ateþ ve göðüs aðrýsý þikayeti ile polikliniðimize baþvurdu. Akciðer grafisinde sað hemitoraksta plevral efüzyon ve birkaç adet kaviter lezyon görüldü. Toraks bilgisayarlý tomografisinde bilateral multipl kaviter lezyonlar ve sað hemitoraksta plevral efüzyon izlendi. Hastanýn ayrýntýlý anamnezinde 20 gün önce diþ apsesi nedeniyle üç gün antibiyotik tedavisi kullandýðý öðrenildi. Kliniðimizde seftriak-son ve metronidazol tedavisi baþlandý ve hýzlý klinik iyileþme gözlendi. Hastaya bu klinik ve radyolojik bulgularý ile septik pulmoner emboli tanýsý konuldu. Septik pulmoner embolinin nadir ancak ciddi sonuçlarý olmasýndan dolayý, ayrýntýlý anamnez ve radyolojik bulgular ile tanýya ulaþmanýn kolaylýðýný vurgulamak amacý ile bu olguyu sunduk.

Anahtar Kelimeler: Septik Pulmoner Emboli, Diþ Apsesi, Bilgisayarlý Tomografi

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Image Slices of the Case

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