Open AccessAn unusual source of septic pulmonary embolism: Perianal abscess in an immunocompetent patient
Author(s) -
Ved Prakash,
Ajay Kumar Verma,
Ankit Bhatia,
Virendra Kumar,
Surya Kant,
Karthik Nagaraju
Publication year - 2015
Publication title -
archives of medicine and health sciences
Language(s) - English
Resource type - Journals
eISSN - 2321-6085
pISSN - 2321-4848
DOI - 10.4103/2321-4848.171929
Subject(s) - medicine , abscess , bacteremia , sepsis , pleural effusion , pulmonary embolism , respiratory distress , radiology , perianal abscess , thorax (insect anatomy) , blood culture , surgery , antibiotics , anatomy , microbiology and biotechnology , biology
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