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Septic Emboli
John P. Lichtenberger, III, MD; Carol C. Wu, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Lung seeding by infected embolic material from extrapulmonary source; often foreign body or infective endocarditis

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Echocardiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            Selected References

                                            1. Ufuk F et al: Non-thrombotic pulmonary embolism in emergency CT. Emerg Radiol. 27(3):343-50, 2020
                                            2. Kunihiro Y et al: Differential diagnosis of pulmonary infections in immunocompromised patients using high-resolution computed tomography. Eur Radiol. 29(11):6089-99, 2019
                                            3. McCabe BE et al: Beyond pulmonary embolism; nonthrombotic pulmonary embolism as diagnostic challenges. Curr Probl Diagn Radiol. 48(4):387-92, 2019
                                            4. Mikail N et al: 18F-FDG-PET/CT imaging to diagnose septic emboli and mycotic aneurysms in patients with endocarditis and cardiac device infections. Curr Cardiol Rep. 20(3):14, 2018
                                            5. Amraoui S et al: Contribution of PET imaging to the diagnosis of septic embolism in patients with pacing lead endocarditis. JACC Cardiovasc Imaging. 9(3):283-90, 2016
                                            6. Kwon WJ et al: Computed tomographic features of pulmonary septic emboli: comparison of causative microorganisms. J Comput Assist Tomogr. 31(3):390-4, 2007
                                            7. Dodd JD et al: High-resolution MDCT of pulmonary septic embolism: evaluation of the feeding vessel sign. AJR Am J Roentgenol. 187(3):623-9, 2006
                                            8. Aslam AF et al: Staphylococcus aureus infective endocarditis and septic pulmonary embolism after septic abortion. Int J Cardiol. 105(2):233-5, 2005
                                            9. Cook RJ et al: Septic pulmonary embolism: presenting features and clinical course of 14 patients. Chest. 128(1):162-6, 2005
                                            10. Goldenberg NA et al: Lemierre's and Lemierre's-like syndromes in children: survival and thromboembolic outcomes. Pediatrics. 116(4):e543-8, 2005
                                            11. Parambil JG et al: Causes and presenting features of pulmonary infarctions in 43 cases identified by surgical lung biopsy. Chest. 127(4):1178-83, 2005
                                            12. Gormus N et al: Lemierre's syndrome associated with septic pulmonary embolism: a case report. Ann Vasc Surg. 18(2):243-5, 2004
                                            13. Han D et al: Thrombotic and nonthrombotic pulmonary arterial embolism: spectrum of imaging findings. Radiographics. 23(6):1521-39, 2003
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Lung seeding by infected embolic material from extrapulmonary source; often foreign body or infective endocarditis

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • Echocardiographic Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Gross Pathologic & Surgical Features

                                                                          • Microscopic Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      Selected References

                                                                                      1. Ufuk F et al: Non-thrombotic pulmonary embolism in emergency CT. Emerg Radiol. 27(3):343-50, 2020
                                                                                      2. Kunihiro Y et al: Differential diagnosis of pulmonary infections in immunocompromised patients using high-resolution computed tomography. Eur Radiol. 29(11):6089-99, 2019
                                                                                      3. McCabe BE et al: Beyond pulmonary embolism; nonthrombotic pulmonary embolism as diagnostic challenges. Curr Probl Diagn Radiol. 48(4):387-92, 2019
                                                                                      4. Mikail N et al: 18F-FDG-PET/CT imaging to diagnose septic emboli and mycotic aneurysms in patients with endocarditis and cardiac device infections. Curr Cardiol Rep. 20(3):14, 2018
                                                                                      5. Amraoui S et al: Contribution of PET imaging to the diagnosis of septic embolism in patients with pacing lead endocarditis. JACC Cardiovasc Imaging. 9(3):283-90, 2016
                                                                                      6. Kwon WJ et al: Computed tomographic features of pulmonary septic emboli: comparison of causative microorganisms. J Comput Assist Tomogr. 31(3):390-4, 2007
                                                                                      7. Dodd JD et al: High-resolution MDCT of pulmonary septic embolism: evaluation of the feeding vessel sign. AJR Am J Roentgenol. 187(3):623-9, 2006
                                                                                      8. Aslam AF et al: Staphylococcus aureus infective endocarditis and septic pulmonary embolism after septic abortion. Int J Cardiol. 105(2):233-5, 2005
                                                                                      9. Cook RJ et al: Septic pulmonary embolism: presenting features and clinical course of 14 patients. Chest. 128(1):162-6, 2005
                                                                                      10. Goldenberg NA et al: Lemierre's and Lemierre's-like syndromes in children: survival and thromboembolic outcomes. Pediatrics. 116(4):e543-8, 2005
                                                                                      11. Parambil JG et al: Causes and presenting features of pulmonary infarctions in 43 cases identified by surgical lung biopsy. Chest. 127(4):1178-83, 2005
                                                                                      12. Gormus N et al: Lemierre's syndrome associated with septic pulmonary embolism: a case report. Ann Vasc Surg. 18(2):243-5, 2004
                                                                                      13. Han D et al: Thrombotic and nonthrombotic pulmonary arterial embolism: spectrum of imaging findings. Radiographics. 23(6):1521-39, 2003