A Case of Pneumothorax Secondary to Septic Pulmonary Embolism Due to Central Venous Catheter Infection Caused by Methicillin-resistant<I>Staphylococcus aureus</I>

• INAMOTO Shinya

  Department of Internal Medicine, Kobe Rosai Hospital

• HASHIMOTO Yukako

  Department of Respiratory Disease, Kobe Rosai Hospital

Bibliographic Information

Other Title

• 気胸を合併した中心静脈カテーテル感染由来の敗血症性肺塞栓症の1例
• 症例 気胸を合併した中心静脈カテーテル感染由来の敗血症性肺塞栓症の1例
• ショウレイ キキョウ オ ガッペイシタ チュウシン ジョウミャク カテーテル カンセン ユライ ノ ハイケツショウセイ ハイ ソクセンショウ ノ 1レイ
• A Case of Pneumothorax Secondary to Septic Pulmonary Embolism Due to Central Venous Catheter Infection Caused by Methicillin-resistantStaphylococcus aureus

Abstract

A 72-year-old woman with deteriorated renal function underwent hemodialysis with a central venous double lumen catheter and was treated with predonisolone when diagnosed with MPO-ANCA associated rapidly progressive glomerulonephritis. She developed a high fever. On hospital day 64, the central venous catheter was removed immediately, and VCM and RFP were started. On hospital day 70, chest CT showed multiple nodular cavitated lesions, and she was diagnosed as septic pulmonary embolism (SPE). Six days later, chest radiography showed asymptomatic right hydropneumothorax. An intercostal tube was inserted and purulent fluid drained. Methicillin-resistantStaphylococcus aureuswas isolated from blood culture, the central venous catheter, and pleural effusion. Her condition improved slowly, and she was discharged mobile on hospital day 129. Pneumothorax is reported to be a rare but possibly lethal complication of SPE in intravenous drug abusers. To our knowledge, this is the first case report of pneumothorax secondary to SPE due to central venous catheter infection. SPE related to intravascular devices or catheters has been increasing, and the significance of this SPE complication in the critically ill should be recognized.

Journal

• Kansenshogaku Zasshi

  Kansenshogaku Zasshi 82 (1), 51-54, 2008

  The Japanese Association for Infectious Diseases

Keywords

• septic pulmonary embolism
• Staphylococcus aureus
• central venous catheter infection

Details

• CRID: 1390001205048375680
• NII Article ID: 130004331419
• NII Article ID: 10021243017
• NII Book ID: AN00047715
• DOI: 10.11150/kansenshogakuzasshi1970.82.51
• ISSN: 1884569X
• ISSN: 03875911
• NDL BIB ID: 9360999
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I9360999
• Web Site: https://search.jamas.or.jp/link/ui/2008122681
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed