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septic thrombophlebitis and osteomyelitis2 Theautopsy3 Septic PE septic thrombophlebitis and osteomyelitis2 Theautopsy3 Septic PE

septic thrombophlebitis and osteomyelitis2 Theautopsy3 Septic PE - PDF document

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septic thrombophlebitis and osteomyelitis2 Theautopsy3 Septic PE - PPT Presentation

415V Chest radiograph revealed large round density in theright lung and consolidation areas in peripheral C A S E R E P O R T S 416V5th hour the patient passed away MethicillinStaphylococcus aure ID: 952939

patient septic therapy showed septic patient showed therapy aureus pulmonary staphylococcus hour revealed peripheral fever lung cavitary arrow year

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septic thrombophlebitis and osteomyelitis(2). Theautopsy(3). Septic PE usually presents as fever,graphs(4). We hereby present a case of septic PE in aA previously healthy 15-year-old girl with a 5-dayemergency ward. She presented with fever, pain,showed white blood cell count of 7800/mm³ (72%USTAFAACIMUSTAFAOGLUEMIRKAYAFrom Uludag University Medical Faculty, Department ofPediatrics, Division of Pediatric Infectious Diseases,Gorukle, Bursa, Turkey.Correspondence to: Dr. Solmaz Celebi, UludagUniversity Medical Faculty, Department of PediatricsBursa, Turkey. E-mail: solmaz@uludag.edu.trManuscript received: June 13, 2007;Initial review completed: September 24, 2007;considered in children. A 15-year-old girl presented withfever, extremity swelling and pain for 5 days. Chestradiograph revealed a large, round density in the rightlung and consolidation areas in peripheral portions ofmultiple round and cavitary nodules in peripheraland hypodense round lesion (8×4 cm) in the superiorCefotaxime and clindamycin were administered. By the5th hour, the patient passed away. Staphylococcus aureuswas isolated fro

m blood, pleural fluid and trachealaspirate cultures.Key wordsChildren, Septic pulmonary embolism,Staphylococcus aureus. 415V Chest radiograph revealed large, round density in theright lung and consolidation areas in peripheral C A S E R E P O R T S 416V5th hour, the patient passed away. MethicillinStaphylococcus aureus (MSSA) was IgE and its indirect hemagglutinationwere both negative. Lymphocyte subsets, immuno-onset and is difficult to diagnose(5). Septic PE cansigns and symptoms of soft tissue infections. To ruleunderwent a CT, which showed bilateral multipleTypical radiographic features of septic PE includepatchy air space lesions simulating nonspecificcommon in septic PE(7-9). While most frequentWong, tissue infection. Staphylococci are the mostswelling on extremity radiographs. At the begining Staphylococcus aureus (MRSA)infection. By the second hour, she had developedprogressive respiratory distress and fever. Computedtomography (CT) showed bilateral multiple roundlungs and, pleural effusion in the right lung (). Albendazole therapy. 2.round (black arrow) and cavitary nodules (whitear

row) in peripheral portions of both lungs and, . 3.Computed tomography revealed a thin walled,hypodense round lesion (8x4 cm) (arrow) in the 417Vseptic PE(5,10), Anticoagulation is not used in casescefotaxime, however, she failed to respond toantibiotic therapy. Lee, (11) reported thatradiological or surgical interventions werein addition to antimicrobial therapy. In that study, sixcellulitis(11). In our patient, drainage of the softdeterioration of patient’s condition.SC and MH: had primary responsibility forprotocol development, and writing the manuscript. MD: None.Competing interest: 1.Stern RC. Pulmonary Embolism and Infarction. In:2.MacMillan JC, Milstein SH, Samson PC. Clinical3.Evans DA, Wilmott RW. Pulmonary embolism4.Connolly J, Tarver RD, Meyer C, Winer-Muram H.5.Cook RJ, Ashton RW, Aughenbaugh GL, Ryu JH.6.Aslam AF, Ahmad KA, Thakur CT, Vasavada BC, infective7.Huang RM, Naidich DP, Lubat E, Schinella R,8.Rossi S, Goodman PC, Franquet T. Nonthrombotic9.Kuhlman JE, Fishman EK, Teigen C. Pulmonary10.Wong KS, Lin TY, Huang YC, Hsia SH, Yang PH,11.Lee SJ, Cha SI, Kim CH, Park JY, Jung TH