Anatolian Journal of Emergency Medicine

Yazarlar: İnan BEYDİLLİ, Aysun BOZOK ÇAVDAR, Muhammed BALTACIOĞLU, Aykut YILMAZ, Fevzi YILMAZ

Konular:Tıp

Anahtar Kelimeler:Septic pulmonary embolism,Computed Tomography,IV substance use

Özet: Aim: People who inject drugs (PWID) are at increased risk for acute and chronic pulmonary complications. These sequelae may be due to pharmacodynamic properties of the drugs, effects of intravenous (IV) contaminants, or complications of the IV route of administration. Case Report: A 35-year-old male patient admitted to Emergency Department (ED) with complaints of fever, chest pain and dyspnea. Thoracic computed tomography (CT) revealed thick-walled multiple cavitary lung lesions in the parenchyma of both lungs, with the largest measuring 5 cm being located in the superior part of the right lower lobe. Based on his medical history, it was learned that the patient was admitted to the hospital about 5 months ago due to bleeding after the right femoral injection, followed by an infected hematoma and thrombosis, and a necrotic wound on the anterior surface of the right tibia. With these clinical and radiological findings, the diagnosis of septic pulmonary embolism (PE) was made. Conclusion: Although septic PE is a rare clinical condition, it should be considered especially in PWID patients and cases with bilateral nodules and cavitary lesions on CT, since it is a disease with high mortality and morbidity.

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