ArticleClinics (Sao Paulo, Brazil)2016
Septic Pulmonary Embolism Requiring Critical Care: Clinicoradiological Spectrum, Causative Pathogens and Outcomes.
Article in Clinics (Sao Paulo, Brazil), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 40 citations in OpenAlex.
- Neonatal presumed septic pulmonary embolism associated with a peripherally inserted central catheter: a case report.Frontiers in pediatrics · 2026Article
- A silent journey from kidney to lungs: pyelonephritis triggering septic pulmonary embolism - a rare case report from Nepal.Annals of medicine and surgery (2012) · 2026Article
- Patent ductus arteriosus with pulmonary endarteritis leading to pulmonary infarction in a 9-year-old boy: a case report.Oxford medical case reports · 2024Article
- Isolated pulmonary valve endocarditis in a pediatric patient with down syndrome.Journal of cardiothoracic surgery · 2024Article
- Clinical Features and Mortality Rate of Infective Endocarditis in Intensive Care Unit: A Large-Scale Study and Literature Review.Anatolian journal of cardiology · 2024Review
- Machine learning-based models for predicting mortality and acute kidney injury in critical pulmonary embolism.BMC cardiovascular disorders · 2023Article
- Nontrombotic Pulmonary Embolism: Different Etiology, Same Significant Consequences.Journal of personalized medicine · 2023Review
- Pleurisy secondary to nonthrombotic pulmonary emboli in a patient with intravenous drug use.Respiratory medicine case reports · 2023Article
- Injection drug induced septic embolism-A growing concern.Radiology case reports · 2022Article
- Septic discitis and septic pulmonary emboli: rare complications ofBMJ case reports · 2021Article
- Inferior Vena Cava Filter in Childhood Septic Deep Vein Thrombosis.Journal of pediatric intensive care · 2021Article
- Article
- The importance of standardisation - COVID-19 CT & Radiograph Image Data Stock for deep learning purpose.Computers in biology and medicine · 2020Article
- Comparison of the Clinico-Microbiological Characteristics of Culture-Positive and Culture-Negative Septic Pulmonary Embolism: A 10-Year Retrospective Study.Pathogens (Basel, Switzerland) · 2020Article
- Spontaneous Chylothorax following Septic Pulmonary Embolization.Case reports in pulmonology · 2020Article
- Septic Pulmonary Embolism Associated with Klebsiella spp. Infection in a Patient with Previous ASD Operation.Turkish journal of anaesthesiology and reanimation · 2019Article
- Systemic Complications and Radiographic Findings of Opioid Use and Misuse: An Overview for Orthopedic Surgeons.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2019Review
- Risk Factors for Pulmonary Embolism in ICU Patients: A Retrospective Cohort Study from the MIMIC-III Database.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectives: Septic pulmonary embolism is an uncommon but life-threatening disorder. However, data on patients with septic pulmonary embolism who require critical care have not been well reported. This study elucidated the clinicoradiological spectrum, causative pathogens and outcomes of septic pulmonary embolism in patients requiring critical care.
methods: The electronic medical records of 20 patients with septic pulmonary embolism who required intensive care unit admission between January 2005 and December 2013 were reviewed.
results: Multiple organ dysfunction syndrome developed in 85% of the patients, and acute respiratory failure was the most common organ failure (75%). The most common computed tomographic findings included a feeding vessel sign (90%), peripheral nodules without cavities (80%) or with cavities (65%), and peripheral wedge-shaped opacities (75%). The most common primary source of infection was liver abscess (40%), followed by pneumonia (25%). The two most frequent causative pathogens were Klebsiella pneumoniae (50%) and Staphylococcus aureus (35%). Compared with survivors, nonsurvivors had significantly higher serum creatinine, arterial partial pressure of carbon dioxide, and Acute Physiology and Chronic Health Evaluation II and Sequential Organ Failure Assessment scores, and they were significantly more likely to have acute kidney injury, disseminated intravascular coagulation and lung abscesses. The in-hospital mortality rate was 30%. Pneumonia was the most common cause of death, followed by liver abscess.
conclusions: Patients with septic pulmonary embolism who require critical care, especially those with pneumonia and liver abscess, are associated with high mortality. Early diagnosis, appropriate antibiotic therapy, surgical intervention and respiratory support are essential.
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