Septic Pulmonary Embolism Associated with Klebsiella spp. Infection in a Patient with Previous ASD Operation

Özet

Septic pulmonary embolism (SPE) is an uncommon disease caused by thromboembolism associated with microorganisms. A 57-year old womanpatient who was monitored for a prediagnosis of subileus suffered from sudden respiration problems in the hospital ward. The patient’s historyincluded atrial fibrillation and atrioseptal defect (ASD) operation. The patient was admitted to the intensive care unit (ICU) in order to applynon-invasive mechanical ventilation and keep her under observation because of low saturation and loss of consciousness. In the ICU, the patient’s temperature was 38.8°C, which led to the diagnosis of sepsis. The chest X-ray showed bilateral and multiple patchy infiltrates. The thoraxCT showed right lower pulmonary consolidation and left pulmonary pleuroparenchymal density with nodular shapes. The electrocardiogramshowed mild pulmonary hypertension and third-degree tricuspid failure. These features indicated SPE because of the ASD operation in the past.The blood culture showed the presence of Klebsiella spp., which is uncommon. A characteristic CT sign is very important for the early diagnosisand treatment of SPE.