Septic pulmonary emboli in IVDU patient with infective endocarditis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

IVDU patient is presenting with acute chest pain. Echocardiography shows infective tricuspid endocarditis.

Patient Data

Age: 40 years
Gender: Male
  • Multiple small variable sized cavitating lesions are seen scattered within both lungs with perilesional haziness and air-space consolidation.
  • Left lung upper lobe apical segment as well as lower lobe posterior segment air space consolidation with air bronchogram.
  • Bilateral basal atelectasis. 
  • Mild bilateral pleural reaction.
  • Small non-specific mediastinal lymphadenoipathy.
  • No hilar masses or enlarged lymphadenopathy.
  • No gross cardiac anomaly.

Case Discussion

The above described cavitating lung lesions are those of septic pulmonary emboli (in the clinical setting of IVDU and infective endocarditis) as well as left pulmonary air-space pneumonic consolidation with bilateral pleural reaction and basal atelectasis.

PlayAdd to Share

Case information

rID: 34757
Case created: 7th Mar 2015
Last edited: 17th Sep 2017
Systems: Chest, Cardiac
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.