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A Case of Septic Pulmonary Emboli in Ventricular Septal Defect

Journal of the Korean Pediatric Society 1999;42(2):279-283.
Published online February 15, 1999.
A Case of Septic Pulmonary Emboli in Ventricular Septal Defect
Keum Bong Jee1, Jae Kook Cha1, Kon Hee Lee1, Kwan Seop Lee2
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Radiology, College of Medicine, Hallym University, Seoul, Korea
심실 중격 결손 환아에서 발생한 패혈성 폐색전증 1례
지금봉1, 차재국1, 이건희1, 이관섭2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 방사선과학교실
Septic pulmonary emboli(SPE) is derived from a variety of sources, including infected heart valves, peripheral sites of septic thrombophlebitis and infected venous catheters or pacemaker wires. In adult intravenous drug users, the most common cause of septic emboli is tricuspid valve endocarditis, but infective endocarditis in the non-complicated ventricular septal defect is a relatively rare condition in infants and children. Early detection, along with prompt administration of broad-spectrum antibiotics, is an important factor in the prognosis of patients with SPE. Unfortunately, initial clinical diagnosis is often difficult; a heart murmur may or may not be present and blood cultures may remain negative early in the course of infection. And so characteristic chest CT and chest radiographic findings are helpful in non-invasive diagnostic method for early detection. We experienced a case of pulmonary septic emboli associated with ventricular septal defect in a 6-year-old girl. The diagnosis was made on the basis of clinical features, echocardiography, chest x-ray and chest CT. We report this case with brief review related literatures.
Key Words: Septic pulmonary emboli, Ventricular septal defect

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