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Embolismo séptico pulmonar como manifestación de sepsis grave en el puerperio. Presentación de un caso

Year: 2016

Type: article

Abstract: Introduction: septic pulmonary embolism is an infrequent syndrome. It is characterized by the embolization from an infection point, a pathogen formed thrombus and fibrin, to the pulmonary vascular system and its secondary infection. Case presentation: a 20 year- old- female patient with severe acute endometritis after cesarean delivery, organ dysfunction and Staphylococcus aureus bacteremia; and secondary pyodermitis to this bacterium. Fever, right pleuritic pain, dyspnea, cough and expectoration. The computerized axial tomography of the lung showed hyperdense, homogeneous image, and wedge-shaped form with sub pleural base in the middle lobe of the right lung and cavity images disseminated in both lung fields with predominance of the lower lobes, with regular internal and external contours, air therein; some confluents and other sub pleural located. Discussion: septic pulmonary embolism is a serious but weird syndrome. It constitutes a diagnostic challenge for the wide range of clinical manifestations with which it is presented and the diverse etiologies that cause it. Conclusions: The presence of bacteremia, fever and respiratory symptoms, with cavity lesions on computerized axial tomography of the lung contributed to the diagnosis of septic pulmonary embolism.

Source: Multimed

Authors: González Aguilera, Julio César, Vázquez Belizón, Yoleinis Esperanza, Dorta Rodríguez, Edelcio, Olivares Maceira, . Agustín, Aguilera Proenza., Idalmis

Institution: University of Granma

Language: Spanish

Topic: Venous Thromboembolism Diagnosis and Management

Subfield: Internal Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7215435476

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