Claudino OC, Hellmeister CV, Alencar MME

Language: English
References: 5
Page: 1-3
PDF size: 290.42 Kb.

ABSTRACT

Dear editors:

Septic pulmonary embolism (SPE) is rare and represents a real diagnostic challenge regarding the etiology of the process. SPE is defined by the pulmonary involvement added to the microbiological culture positive for the etiologic agent. The images presented are of a newborn who, on the 43rd postoperative day for correction of gastroschisis, and on his 9th postoperative day for correction of intestinal volvulus, developed sepsis with sudden dyspnea after central venous catheter replacement. The newborn clinical context developed after the surgical procedure, having a close relationship between the intervention and its infectious condition. The patient died and the autopsy found lungs with edema, hemorrhage, areas of infarction and emboli containing fungal structures in the form of hyphae and yeast.

REFERENCES

1. Cook RJ, Ashton RW, Aughenbaugh GL, Ryu RH. Septic Pulmonary Embolism - Presenting Features and Clinical Course of 14 Patients. CHEST. 2005;128:162-6.

2. Ye R, Zhao L, Wang C, Wu X, Yan H. Clinical characteristics of septic pulmonary embolism in adults: a systematic review. Respir Med. 2014;108(1):1-8.

3. Chou DW, Wu SL, Chung KM, Han SC, Cheung BM. Septic Pulmonary Embolism Requiring Critical Care: Clinicoradiological Spectrum, Causative Pathogens and Outcomes. BM Clinics (Sao Paulo). 2016;71(10):562-9.

4. Nacea HL, Hornc D, Neofytos D. Epidemiology and outcome of multiple-species candidemia at a tertiary care center between 2004 and 2007. Diag Microbiol Infect Dis. 2009;64:289-94.

5. Neu N, Malik M, Lunding A, Whittier S, Alba L, Kubin C, et al. Epidemiology of Candidemia at a Children's Hospital, 2002 to 2006. Pediatr Infect Dis J. 2009;28:806-9.