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Revista Portuguesa de Pneumologia

versão impressa ISSN 0873-2159

Rev Port Pneumol v.14 n.6 Lisboa dez. 2008

 

Embolia séptica pulmonar – A propósito de um caso Clínico

 

Luís Coentrão1

Jorge Oliveira2

 

 

Resumo

A embolia séptica pulmonar (ESP) é frequentemente a apresentação clínica de variadas doenças de etiologia infecciosa, por vezes subdiagnosticadas na prática clínica. Esta entidade foi descrita há cerca de 30 anos, quase sempre associada a toxicodependentes com endocardite infecciosa da válvula tricúspide. Ao longo das últimas três décadas, a epidemiologia desta síndroma sofreu alterações relevantes. No entanto, carece a existência na literatura de critérios de diagnóstico de ESP validados. Os autores apresentam um caso clínico de endocardite infecciosa da válvula tricúspide em toxicodependente, cuja forma de apresentação foi a ESP. O doente apresentava sintomas constitucionais.

Palavras-chave: Embolia séptica pulmonar, endocardite infecciosa, infiltrados pulmonares.

 

 

Septic pulmonary embolism – Case report

Abstract

SPE is a rare syndrome, although a frequent clinical presentation of several disorders, many times misdiagnosed in medical practice. It was described 30 years ago, almost always associated with intravenous drug abuse. Recent reports indicate that the epidemiology of patients with septic pulmonary embolism has changed over the past 30 years. We report a case of septic pulmonary embolism associated with tricuspid valve endocarditis. The patient had a personal history of intravenous drug abuse. The chief complaints were fever, anorexia and weight loss for 30 days. A chest radiograph revealed multiple pulmonary infiltrates in the lower third of the right lung.

Key-words: Septic pulmonary embolism, infectious endocarditis, pulmonary infiltrates.

 

 

Texto completo disponível apenas em PDF.

Full text only available in PDF format.

 

 

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1 Interno do Internato Complementar de Nefrologia

2 Assistente Hospitalar de Medicina Interna