A case presentation of intracardiac thrombus formation and development of massive pulmonary embolism following brucella infection

Yıl 2026, Cilt: 16 Sayı: 1, 126 - 128, 19.03.2026

Mehmet Hakan Şahin , İnanç Artaç , Yavuz Karabağ , Doğan İliş , Timor Omar , Muammer Karakayalı , İbrahim Rencüzoğulları

https://izlik.org/JA77RJ88TY

Öz

Brucella infection can lead to vascular complications such as intracardiac
thrombus. In this case, we presented a case of acute pulmonary
embolism due to right atrial thrombus secondary to brucella infection.
A 74-year-old male patient presented with complaints of shortness
of breath and palpitations. He exhibited hypotension and tachycardia
in vital signs, along with hypoxia and hypocarbia in laboratory
parameters. The patient had a diagnosis of brucella and under active
medical treatment. Transthoracic echocardiography revealed a
worm-like hyperechoic intracavitary mass in the right atrium which
has rough contours and synchronously move with adjacent heart
wall during heart cyles. The right atrium and right ventricle were
dilated. Computed tomography showed a hypodense lesion consistent
with embolism in the left main pulmonary artery. Due to hemodynamic
instability and the development of shock, the patient
received thrombolytic therapy. Following stabilization of vital signs,
the patient was discharged smoothly on vitamin K antagonist (VKA)
therapy.

Anahtar Kelimeler

brucella enfection , pulmonary embolism , intracardiac thrombus

Kaynakça

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