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Recurrent Septic Pulmonary Embolism Related to an Implanted Central Venous Access Port Device

Chinese Medical Journal 2018年第24期131卷 3009-3011页

作者： goohyeon hong Youn Seup Kim Department of Internal Medicine Division of Pulmonary and Critical Care MedicineDankook University HospitalDankook University College of Medicine Cheonan 31116Korea

To the Editor:Septic pulmonary embolism (SPE)is a rare type of nonthrombotic pulmonary embolism,in which, emboli-containing pathogens and purulent material admixed with fibrin thrombus embolize to the pulmonary artery, causing pulmonary embolism with focal lung infection. Embolization from this complex results in stenosis and/or obstruction of small pulmonary vessels,which frequently causes pulmonary infection.SPE is usually associated with the use of infected central venous catheters and with endocarditis, septic thrombophlebitis (including Lemierre's syndrome),and oropharyngeal infection. The use of central venous access port devices (CVAPDs)has increased rapidly worldwide because of their convenience and safety for patients who need repeated blood sampling or long-term continuous intravenous therapy such as chemotherapy,transfusion of blood products,fluid hydration,or parenteral nutrition.

关键词： Septic Pulmonary Embolism SPE

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Pulmonary sequestration infected with nontuberculous mycobacteria:a report of two cases and literature review

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Asian Pacific Journal of Tropical Medicine 2012年第11期5卷 917-919页

作者： Won-Jung Koh goohyeon hong Kwhanmien Kim Soomin Ahn Joungho Han Division of Pulmonary and Critical Care Medicine Department of MedicineSamsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea Division of Thoracic and Cardiovascular Surgery Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea Division of Pathology Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea

We report two cases of pulmonary sequestration infected with nontuberculous mycobacteria(NTM): Mycobacterium avium and Mycobacterium abscessus.Chest computed tomography showed pneumonic consolidation in the right lower lobe,which received a systemic blood supply from the descending aorta in both patients.Video-assisted thoracoscopic surgeries were successfully performed and pathologica]examinations revealed multiple caseating granulomas.A review of the literature revealed only seven previous case reports of pulmonary sequestration infected with NTM,and no case with Mycobacterium abscessus has been reported.

关键词： Pulmonary sequestration Nontuberculous mycobacteria Mycobacterium avium Mycobacterium abscessus

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