Yıl 2014, Cilt 5 , Sayı 6, Sayfalar 180 - 182 2014-06-01

Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict
İntravenöz Uyuşturucu Madde Bağımlısı Hastada Gelişen Septik Pulmoner Emboli

Fatih Tanrıverdi [1] , Gülhan Kurtoğlu Çelik [2] , Gül Pamukçu Günaydın [3] , Selçuk Coşkun [4] , Teoman Erşen [5]


Introduction: Septic pulmonary embolism (SPE) is a pulmonary infarction and infection that is caused by pulmonary embolization from an infected fibrin thrombus that occludes the pulmonary arteries. SPE is a rare subtype of pulmonary embolism clinically characterized by fever, respiratory distress, and pulmonary infiltrates seen on radiological imaging. In the chest computed tomography of SPE, multiple air cysts; wedge-shaped opacities in the periphery of the lungs; multiple diffuse, small opacities mimicking bronchopneumonia; bilateral nodules; and cavitary nodules in the lungs can be seen.Case Report: A 34-week-old male patient presented to our emergency department with complaints of chest and back pain, shortness of breath, and coughing up bloody sputum. The patient was addicted to heroin for 10 years and was a smoker for 15 years. In his chest x-ray, multiple diffuse opacities were present in both lungs. Thoracic computed tomography revealed multiple hyperdense nodular lesions in both lung parenchyma. Since these findings were consistent with SPE, the patient was hospitalized in the intensive care unit for further treatment.Conclusion: The initial clinical and radiological features are often not specific to the disorder, and therefore, it is difficult to make the diagnosis. In patients with predisposing factors, if symptoms and radiological findings are compatible with SPE, the diagnosis should be kept in mind. In this article, we present the case of a 34-year-old male patient who was an intravenous drug addict and was diagnosed with SPE
Giriş: Septik pulmoner emboli (SPE), septik flebitteki enfekte fibrin trombüsten akciğere embolizasyon sonucu pulmoner damarlarda tıkanıklık olmasına bağlı gelişen pulmoner enfarkt ve pulmoner enfeksiyon tablosudur. Pulmoner embolinin nadir görülen bir alt tipi olan SPE klinik olarak ateş, solunum sıkıntısı ile başvurur ve radyolojik görüntülemede akciğerlerde infiltrasyon görülür. SPE’nin toraks bilgisayarlı tomografisinde akciğer periferinde çoklu hava kistleri, çoklu, küçük diffüz bronkopomoniyi taklit eden opasiteler, akciğer periferinde kama şeklinde opasiteler, akciğerde bilateral nodüller ve nodüllerde kavitasyonlar görülebilir. Olgu Sunumu: Otuz dört yaşında erkek hasta bir haftadır olan göğüs ağrısı, sırt ağrısı, nefes darlığı, öksürük ve balgamla kan gelmesi şikayeti ile acil servisimize başvurdu. Hastanın 15 yıldır sigara kullanmakta ve 10 yıldır eroin bağımlısı olduğu öğrenildi. Çekilen akciğer grafisinde her iki akciğerde multiple diffüz opasiteler mevcuttu. Toraks tomografisinde her iki akciğer parankiminde solda daha belirgin olmak üzere multiple hiperdens nodüler lezyonlar görüldü. Bu bulgularla hasta SPE öntanısı ile yoğun bakıma yatırılarak tedavi edildi. Sonuç: Semptomları uyumlu olan ve predispozan faktörleri olan hastalarda radyolojik bulgular da mevcutsa akla SPE getirilmelidir. SPE yönetiminde erken tanı, uygun antimikrobiyal tedavinin hemen başlanması, ekstrapulmoner enfeksiyon kaynağının da tedavisi önemlidir.
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Diğer ID JA85YZ35GG
Bölüm Case Report
Yazarlar

Yazar: Fatih Tanrıverdi

Yazar: Gülhan Kurtoğlu Çelik

Yazar: Gül Pamukçu Günaydın

Yazar: Selçuk Coşkun

Yazar: Teoman Erşen

Tarihler

Yayımlanma Tarihi : 1 Haziran 2014

Bibtex @ { jemcr535739, journal = {Journal of Emergency Medicine Case Reports}, issn = {}, eissn = {2149-9934}, address = {Yukarı Ayrancı Güleryüz Sk. No: 26/19 06550 Çankaya-Ankara, Turkey}, publisher = {Acil Tıp Uzmanları Derneği}, year = {2014}, volume = {5}, pages = {180 - 182}, doi = {}, title = {Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict}, key = {cite}, author = {Tanrıverdi, Fatih and Çelik, Gülhan Kurtoğlu and Günaydın, Gül Pamukçu and Coşkun, Selçuk and Erşen, Teoman} }
APA Tanrıverdi, F , Çelik, G , Günaydın, G , Coşkun, S , Erşen, T . (2014). Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict. Journal of Emergency Medicine Case Reports , 5 (6) , 180-182 . Retrieved from https://dergipark.org.tr/tr/pub/jemcr/issue/43672/535739
MLA Tanrıverdi, F , Çelik, G , Günaydın, G , Coşkun, S , Erşen, T . "Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict". Journal of Emergency Medicine Case Reports 5 (2014 ): 180-182 <https://dergipark.org.tr/tr/pub/jemcr/issue/43672/535739>
Chicago Tanrıverdi, F , Çelik, G , Günaydın, G , Coşkun, S , Erşen, T . "Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict". Journal of Emergency Medicine Case Reports 5 (2014 ): 180-182
RIS TY - JOUR T1 - Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict AU - Fatih Tanrıverdi , Gülhan Kurtoğlu Çelik , Gül Pamukçu Günaydın , Selçuk Coşkun , Teoman Erşen Y1 - 2014 PY - 2014 N1 - DO - T2 - Journal of Emergency Medicine Case Reports JF - Journal JO - JOR SP - 180 EP - 182 VL - 5 IS - 6 SN - -2149-9934 M3 - UR - Y2 - 2020 ER -
EndNote %0 Journal of Emergency Medicine Case Reports Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict %A Fatih Tanrıverdi , Gülhan Kurtoğlu Çelik , Gül Pamukçu Günaydın , Selçuk Coşkun , Teoman Erşen %T Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict %D 2014 %J Journal of Emergency Medicine Case Reports %P -2149-9934 %V 5 %N 6 %R %U
ISNAD Tanrıverdi, Fatih , Çelik, Gülhan Kurtoğlu , Günaydın, Gül Pamukçu , Coşkun, Selçuk , Erşen, Teoman . "Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict". Journal of Emergency Medicine Case Reports 5 / 6 (Haziran 2014): 180-182 .
AMA Tanrıverdi F , Çelik G , Günaydın G , Coşkun S , Erşen T . Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict. Journal of Emergency Medicine Case Reports. 2014; 5(6): 180-182.
Vancouver Tanrıverdi F , Çelik G , Günaydın G , Coşkun S , Erşen T . Septic Pulmonary Embolism in a Patient Who Was an Intravenous Drug Addict. Journal of Emergency Medicine Case Reports. 2014; 5(6): 182-180.