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메치실린 내성 황색포도상구균 세균성 심내막염에 의한 패혈성 폐색전증
이기종 ( Ki Jong Lee ),김나영 ( Nha Young Kim ),김자선 ( Ja Seon Kim ),윤한결 ( Han Kyeol Yun ),오미정 ( Mi Jung Oh ),김도훈 ( Do Hoon Kim ),조상균 ( Sang Kyun Cho ),류한영 ( Han Young Ryu ),배영아 ( Young A Bae ),김대봉 ( Dae Bon 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.2
Septic pulmonary embolism is the process in which an infected thrombus becomes detached from its site of origin and lodges in a pulmonary artery, and is usually associated with infective endocarditis, especially right-sided, or infection-associated with indwelling catheters, peripheral septic thrombophlebitis, and periodontal diseases, etc. Here, we report a case of septic pulmonary embolism associated with tricuspid valve infective endocarditis. A 23-year-old female was admitted to our hospital, due to fever, sore throat, and myalgia. In her past medical history, she had undergone a surgical operation for closure of a ventricular septal defect, but was informed that the operation resulted in an incomplete closure. The initial chest radiograph demonstrated multiple rounded, parenchymal nodules in various sizes; several nodules had central lucency suggesting cavitations. Echocardiography demonstrated a large vegetation attached to the septal tricuspid valve leaflet, extending from right ventricular inflow tract to outflow tract. Computed tomography of thorax revealed bilateral peripheral nodules and wedge-shaped consolidation at various sizes, mostly accompanied by cavitations.