摘要
Septic pulmonary embolism is a rare condition that is always associated with a microorganism in the primary site and metastasis to the lung through hematogenous dissemination. This patient presented to the Emergency Room (ER) with fever, right-sided chest pain and a chest X-ray revealed a small pneumonia-like lesion. Further, as his CRP level was high (17.6 mg/dl), a chest computer tomography was acquired, which revealed multiple discrete consolidated nodules in bilateral. The patient was diagnosed with septic pulmonary embolism and we discuss etiology, symptoms, pathophysiology, imaging findings, and treatment for septic pulmonary embolism.
並列摘要
敗血性肺栓塞是一種罕見的疾病。該疾病的發生往往與原發於其他部位的微生物感染有關，並通過血行性轉移到肺部。案例裡的患者因發燒和右胸疼痛來到急診，根据他的胸部X片，初始的診斷比較傾向是輕微的肺炎。但由於CRP數值很高與臨床表現不一致，因此安排了胸部電腦斷層掃描做進一步的診斷。本文將討論敗血性肺栓塞的病因，症狀，病理生理學，圖像發現和治療。