PDF(Pubmed)
Abstract：
Septic pulmonary embolism (SPE) is a rare complication that happens when infected thrombi from the original site of infection break off and travel to the pulmonary blood vessels, causing an infarction or an abscess. Cases were reported on SPE, with tricuspid or pulmonary valve endocarditis being the most common primary site, especially in intravenous drug abusers. There are, however, very few reports of SPE brought on by septic cavernous sinus thrombosis (CST). Here, we describe the case of an 18-year-old male who had a pustule on his left eyelid, after which he developed fever, spontaneous swelling of his left eye, followed by his right eye, along with bilateral proptosis and diplopia, and new-onset dyspnea. Auscultation revealed decreased breath sounds in the left lung fields. Magnetic resonance imaging (MRI) revealed cavernous sinus thrombosis. Blood cultures isolated Staphylococcus aureus species. High-resolution computed tomography (HRCT) revealed a left-sided pneumothorax with minimal pleural effusion and multiple nodules scattered among both lungs, suggesting septic pulmonary emboli. We report this case to convey how a minor lesion, that is, an eyelid pustule (stye), can get complicated and set off a spiral of events that takes an unexpected tangent, challenging physicians and necessitating a rigorous approach.
摘要：
脓毒症肺栓塞（SPE）是一种罕见的并发症，当感染的血栓从原始感染部位破裂并转移到肺血管时，就会发生。引起梗塞或脓肿。在SPE上报告了病例，三尖瓣或肺动脉瓣心内膜炎是最常见的主要部位，尤其是静脉吸毒者。有,然而,关于化脓性海绵窦血栓形成（CST）引起SPE的报道很少。这里,我们描述了一个18岁的男性，他的左眼睑上有一个脓包，之后他出现了发烧,他的左眼自发肿胀,跟着他的右眼，伴随着双侧眼球突出和复视，和新发的呼吸困难.听诊显示左肺区域的呼吸音减少。磁共振成像（MRI）显示海绵窦血栓形成。血液培养分离金黄色葡萄球菌。高分辨率计算机断层扫描（HRCT）显示左侧气胸，胸腔积液最少，两肺中散布着多个结节，提示感染性肺栓塞.我们报告这个病例是为了传达一个小病变，也就是说,眼睑脓疱（style），会变得复杂，引发一系列意想不到的事件，挑战医生，需要严格的方法。
