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Revista Portuguesa de Pneumologia

versão impressa ISSN 0873-2159

Rev Port Pneumol v.14 n.6 Lisboa dez. 2008

 

Embolia séptica pulmonar – A propósito de um caso Clínico

 

Luís Coentrão1

Jorge Oliveira2

 

 

Resumo

A embolia séptica pulmonar (ESP) é frequentemente a apresentação clínica de variadas doenças de etiologia infecciosa, por vezes subdiagnosticadas na prática clínica. Esta entidade foi descrita há cerca de 30 anos, quase sempre associada a toxicodependentes com endocardite infecciosa da válvula tricúspide. Ao longo das últimas três décadas, a epidemiologia desta síndroma sofreu alterações relevantes. No entanto, carece a existência na literatura de critérios de diagnóstico de ESP validados. Os autores apresentam um caso clínico de endocardite infecciosa da válvula tricúspide em toxicodependente, cuja forma de apresentação foi a ESP. O doente apresentava sintomas constitucionais.

Palavras-chave: Embolia séptica pulmonar, endocardite infecciosa, infiltrados pulmonares.

 

 

Septic pulmonary embolism – Case report

Abstract

SPE is a rare syndrome, although a frequent clinical presentation of several disorders, many times misdiagnosed in medical practice. It was described 30 years ago, almost always associated with intravenous drug abuse. Recent reports indicate that the epidemiology of patients with septic pulmonary embolism has changed over the past 30 years. We report a case of septic pulmonary embolism associated with tricuspid valve endocarditis. The patient had a personal history of intravenous drug abuse. The chief complaints were fever, anorexia and weight loss for 30 days. A chest radiograph revealed multiple pulmonary infiltrates in the lower third of the right lung.

Key-words: Septic pulmonary embolism, infectious endocarditis, pulmonary infiltrates.

 

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

 

Bibliografia

1. Seung -Joon Lee, et al., Septic pulmonary embolis in Korea: Microbiology, clinicoradiologic features, and treattmen outcome, Journal of Infection 2007; 54: 230 -4.        [ Links ]

2. Griffith GL, Maull Kl, Sachatello CR. Septic pulmonary embolization. Surg Gynecol Obstet 1977; 144: 105 -8.

3. MacMillan JC, Milstein SH, Samson PC. Clinical spectrum of septic pulmonary embolism and infarction. J Thorac Cardiovasc Surg 1978; 75:670 -9.

4. Rachel J Cook, et al. Septic pulmonary embolism, presenting features and clinical course of 14 patients. Chest 2005; 128:162 -6.

5. Julander I, et al. Intravenous drug addiction-staphylococcal septicaemia - pulmonary embolism: a triad pathognomonic for tricuspid valve endocatditis? Scandinavian Journal of Infectious Diseases 1983; 15(3): 257 -65.

6. Lockhart PB. The risk of endocarditis in dental practice. Periodontal 2000; 23:127 -35.

7. Nafaguchi M, et al. A young adult patient with septic pulmonary emboli of undetermined origin, The Kurume Medical Journal 2006; 53:99 -101.

8. Shiota Y, et al. Septic pulmonary embolism associated with peridodontal disease: reports of two cases and review of the literature. Chest 2002; 121;652 -4.

9. Burns J, Hogg K, Hillis W, Dunn F. Endocarditis in intravenous drug abusers with staphylococcal septicaemia Br Heart J 1989; 61:356 -7.

10. Ales Kovaric, et al. Infective endocarditis of the tricuspid valve caused by Staphylococcus aureus after ear piercing, Scandinavian Journal of Infectious Diseases 2007; 39(3):266 -8.

11. Martin Brueck, et al. Infective tricuspid valve endocarditis with septic pulmonary emboli due to puncture of an endogenous arteriovenous fistula in a chronic hemodyalisis patient. J Infect 2003; 46(3):188-91.

12. Verb SP, Black EH. Septic pulmonary embolism associated with orbital abcess and sinusitis, Ophthal Plast Reconstr Surg 2007; 23(2):165 -7.

13. Laissy JP, Fernandez P, Rouviére O. Pyelonephritis complicated by suppurative thrombosis of the renal vein, with septic pulmonary embolism J Radiol 2007; 88(7 -8, pt. 1):1003 -6.

14. Zenda T, et al. Septic pulmonary emboli secondary to pyogenic liver abcess in a diabetic patient. Internal Medicine 1995; 34:42 -5.

 

 

1 Interno do Internato Complementar de Nefrologia

2 Assistente Hospitalar de Medicina Interna