附睾炎继发脓毒性肺栓塞：病例报告及文献综述
Septic Pulmonary Embolism Secondary to Epididymitis: Case Report and Literature Review.
作者信息
Ojeda Gómez Juan Sebastián Alonso, Carrillo Bayona Jorge Alberto, Morales Cifuentes Laura Cristina
机构信息
Hospital Universitario Mayor Méderi, Universidad del Rosario, Bogotá, Colombia.
出版信息
Case Rep Radiol. 2019 Mar 19;2019:5395090. doi: 10.1155/2019/5395090. eCollection 2019.
BACKGROUND
Septic pulmonary embolism (SPE) is defined as the occurrence of septic thrombi in the pulmonary circulation. We report a case of SPE secondary to epididymitis.
CASE PRESENTATION
A 74-year-old male with a history of diabetes mellitus experienced SPE secondary to epididymitis, with isolation of in blood and presence of lung nodules, with a chest computed tomography showing the halo and reversed halo signs.
DISCUSSION
SPE is characterized by the presence of septic thrombi in the pulmonary circulation coming from an extrapulmonary infective focus. SPE secondary to K. pneumoniae epididymitis is an uncommon condition that is characterized by the presence of multiple bilateral nodules of peripheral distribution.
CONCLUSION
SPE is an unusual complication of acute epididymitis. Suspicion of SPE should be considered in patients with a diagnosis of epididymitis, respiratory symptoms, and multiple nodules in chest imaging assessments.
背景
脓毒性肺栓塞（SPE）定义为肺循环中出现感染性血栓。我们报告一例继发于附睾炎的脓毒性肺栓塞病例。
病例介绍
一名有糖尿病病史的74岁男性继发于附睾炎出现脓毒性肺栓塞，血液中分离出[具体病原体未给出]，存在肺结节，胸部计算机断层扫描显示晕征和反晕征。
讨论
脓毒性肺栓塞的特征是肺循环中存在来自肺外感染灶的感染性血栓。肺炎克雷伯菌附睾炎继发的脓毒性肺栓塞是一种罕见疾病，其特征是存在多个双侧外周分布的结节。
结论
脓毒性肺栓塞是急性附睾炎的一种不寻常并发症。对于诊断为附睾炎、有呼吸道症状且胸部影像学评估发现多个结节的患者，应考虑怀疑脓毒性肺栓塞。
Zotero 插件