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Septic Pulmonary Embolism

A Case Series, Proposed Set of Diagnostic Criteria, and Review of the Literature

Chengsupanimit, Tayoot, BS*; Sundaram, Baskaran, MD; Kane, Gregory C., MD, FACP

doi: 10.1097/CPM.0000000000000296
Respiratory Infections

Septic pulmonary embolism is an unusual manifestation of bloodstream infection that presents with fever, chest pain, fatigue, and radiographic evidence of pulmonary infarction. We report on 4 cases of septic pulmonary embolism and provide a comprehensive review of this important entity. We also propose a modified set of diagnostic criteria in order to evaluate suspected cases clinically and confirm this diagnosis.

*Sidney Kimmel Medical College

Department of Radiology, Division of Cardiothoracic Radiology, Thomas Jefferson University

Department of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, Jane and Leonard Korman Respiratory Institute, Thomas Jefferson University, Philadelphia, PA

G.C.K. is the Principal Investigator of a grant from the Bristol Myers Squibb Foundation to increase Lung Cancer Screening among vulnerable populations in Philadelphia. The remaining authors declare that they have nothing to disclose.

Address correspondence to: Gregory C. Kane, MD, FACP, Sidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut St., Philadelphia, PA 19107. E-mail: gregory.kane@jefferson.edu.

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