Septic pulmonary emboli

Case contributed by Dr Ali Abougazia

Presentation

IV drug addict. Now complaining of fever, productive cough and chest pain.

Patient Data

Age: 36
Gender: Male
CT

CT Chest

Both lungs are studded with numerous variable sized cavitating nodules that appear to colese in both lower lobes.

Bilateral minimal pleural effusion.

Ultrasound
A mass is seen attached to lateral leaflet of tricuspid valve measuring about 13 mm X 25 mm on echocardiography.

Case Discussion

Bilateral pulmonary cavitating nodules. In light of the patient’s history and echocardiographic data, these findings represent pulmonary septic emboli as a complication of IV drug abuse induced infective endocarditis (infected tricuspid vegetation).

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Case information

rID: 25070
Published: 2nd Oct 2013
Last edited: 16th Jul 2018
System: Chest, Cardiac
Inclusion in quiz mode: Included

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