scholarly journals From prostate to the pons: The first reported case of multi‐organ septic emboli and brain empyema from an untreated prostate abscess

2021 ◽  
Vol 9 (11) ◽  
Author(s):  
Tyler Degener ◽  
Samantha Quon ◽  
Paul Holtom ◽  
Eric Hsieh
Keyword(s):  
Septic Emboli

Unilateral Septic Emboli From an Infected Pseudoaneurysm

2020 ◽  
Vol 156 (4) ◽  
pp. 452
Author(s):  
Sophia Matos ◽  
Morgan Wilson ◽  
Rebecca Larson
Keyword(s):  
Septic Emboli ◽  
Infected Pseudoaneurysm

Abstract 494: Mitral to Meninges: Aspergillus Endocarditis With Septic Emboli

2020 ◽  
Vol 127 (Suppl_1) ◽  
Author(s):  
Christopher T Smith ◽  
Dantwan Smith ◽  
Waqaar Arshad
Keyword(s):  
Mitral Valve ◽  
Fungal Infections ◽  
Early Recognition ◽  
Elevated Serum ◽  
Blood Cultures ◽  
Septic Emboli ◽  
Chronic Pancreatitis Patient ◽  
Fungal Endocarditis ◽  
Tertiary Center ◽  
History Of

Introduction: Fungal endocarditis comprises less than 2% of infective endocarditis, with Aspergillus causing less than 28% of fungal endocarditis. Fungal endocarditis should be suspected in immunocompromised patients with persistent fevers, negative blood cultures, and vegetation on echocardiography. Invasive Aspergillus can affect any organ, but typically begins in the respiratory tract. Mortality rates climb to 90% with signs of hematogenous spread, such as cerebral abscesses. Case Presentation: Patient is a 53-year-old female with a past medical history of Sweet syndrome and chronic pancreatitis. Patient was admitted for persistent fevers and confusion. Patient was tachycardic but normotensive with a temperature of 102.5 F. Labs included significantly elevated serum LDH and Beta-D-Glucan. Blood cultures remained negative. Lumbar puncture cultures were negative; CSF cytology revealed pleocytosis with positive Aspergillus galactomannan serum antigen. Head MRI revealed multiple peripherally enhancing supratentorial lesions and intracranial abscesses (largest 8.4 mm) with ventriculitis of lateral ventricles, right greater than left. Transesophageal Echocardiogram (TEE) revealed mitral valve vegetation at A2 segment, no surrounding perivalvular abscess, minimal mitral regurgitation (MR). Management: Antibiotics were discontinued and patient was counseled on avoiding glucocorticoids. Patient was transferred to large tertiary center for Neurosurgery evaluation but was not candidate for biopsy/aspiration of the ring-enhancing lesions per Neurosurgery. Cardiothoracic Surgery was also consulted and patient was not a candidate for mitral valve replacement due to small size of vegetation without abscess and only mild MR. Voriconazole was continued and patient ultimately demonstrated a slow improvement in her strength and mental status over the next 6 months. Discussion: Mitral endocarditis from Aspergillus is rare but has a very high mortality rate. This case illustrates the importance of early recognition of systemic fungal infections in the setting of immunosuppression. Glucocorticoids and broad-spectrum antibiotics placed this patient at elevated risk for invasive Aspergillosis, which led to mitral endocarditis and subsequent cerebral abscesses from septic emboli.

scholarly journals Klebsiella liver abscess with multiple septic emboli

2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Jameela Al Salman ◽  
Rawan Al Agha
Keyword(s):  
Liver Abscess ◽  
Septic Emboli

Republished: Intracranial vessel occlusion preceding the development of mycotic aneurysms in patients with endocarditis

2020 ◽  
Vol 12 (2) ◽  
pp. e1-e1
Author(s):  
Ezequiel Goldschmidt ◽  
Amir H Faraji ◽  
David Salvetti ◽  
Benjamin M Zussman ◽  
Ashutosh Jadhav
Keyword(s):  
Infectious Endocarditis ◽  
Intravenous Drug Use ◽  
Vessel Occlusion ◽  
Cerebral Angiogram ◽  
Septic Emboli ◽  
Intracranial Vessel ◽  
History Of ◽  
Mycotic Aneurysms ◽  
Vascular Occlusions

Mycotic aneurysms (MA) are an uncommon complication of infectious endocarditis. Septic emboli are thought to be the precipitating event in their development, but the evidence for this is sparse. We present three cases in which septic embolic occlusion preceded MA development at the occlusion site, suggesting that documented angiographic emboli in patients with infectious endocarditis and bacteremia constitute a risk factor for MA formation. Two adult patients with a history of intravenous drug use and one child with congenital heart disease are described. They were all diagnosed with infectious endocarditis and developed neurological symptoms during their hospital course. Initial catheter-based cerebral angiograms demonstrated vascular occlusions, which were followed by the development of MA at the same sites within 1 month. Septic emboli, documented on cerebral angiogram, in patients with infectious endocarditis may precede the appearance of MA. Patients with angiographic occlusions in the setting of endocarditis warrant close follow-up.

scholarly journals Mycotic pulmonary artery aneurysm secondary to septic emboli

2017 ◽  
pp. bcr-2017-223439
Author(s):  
Kellen A Knowles ◽  
Matthew Alvin ◽  
Emily Dunn
Keyword(s):  
Pulmonary Artery ◽  
Artery Aneurysm ◽  
Pulmonary Artery Aneurysm ◽  
Septic Emboli

Infective Endocarditis with Systemic Septic Emboli

1999 ◽  
Vol 29 (8) ◽  
pp. 833
Author(s):  
Jee Soo Kim ◽  
Dae Gyun Park ◽  
Kyung Chang Park ◽  
Kyung Soon Hong ◽  
Young Cheoul Doo ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Septic Emboli

scholarly journals Septic emboli resulting in an acutely ischaemic lower limb: a case report

2012 ◽  
Vol 94 (2) ◽  
pp. e60-e61 ◽  
Author(s):  
M Ahmed
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Lower Limb ◽  
Arterial Embolism ◽  
Cardiac Pathology ◽  
Septic Emboli ◽  
Common Causes ◽  
The Common ◽  
Staphylococcus Aureus Pneumonia

Sources of arterial embolism range from the common, such as cardiac pathology, to less common causes. We present a case of an acutely ischaemic lower limb due to septic emboli from Staphylococcus aureus pneumonia.

SEPTIC EMBOLI FROM PENETRATING RIGHT ATRIAL FUNGAL MASS

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A708
Author(s):  
Richard Belt
Keyword(s):  
Right Atrial ◽  
Septic Emboli
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