ArticleClinical case reports2026
MRSA Septic Thrombophlebitis and Pulmonary Embolism: A Case Report Highlighting the Tight Bond With Infective Endocarditis.
Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Septic pulmonary embolism in adults is usually associated with right-sided endocarditis. We report a 27-year-old male with 14 days of fever, dyspnea, and hemoptysis. CT chest showed bilateral peripheral cavitating nodules consistent with septic pulmonary emboli. Blood cultures yielded MRSA; transesophageal echocardiography showed no vegetations. CT abdomen-pelvis identified a thrombus in the inguinal venous system compatible with septic thrombophlebitis. Management included IV antibiotics and anticoagulation. His case highlights the close interplay between septic thrombophlebitis and infective endocarditis. As well as the utility of prompt extra-thoracic imaging when endocarditis work up is negative. Central discussion points include the devastating consequences of persistent bacteremia, urging the clinician to take action and the controversial use of anticoagulation for septic pulmonary embolism, which in this case was completely beneficial.
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