Abstract：
A septic pulmonary embolus occurs from the embolisation of an infected thrombus - typically from an infected source such as an abscess - that enters the venous circulation, implanting in the lungs, which in turn causes a parenchymal infection. This case discussion gives a candid reflection on the treatment and management of a patient who was a known intravenous drug user, with a past history of a deep vein thrombosis and new presentation of a groin abscess. He was initially reviewed by a trainee advanced clinical practitioner, working out of hours in a hospital setting. This article will reflect on the patient presentation, the clinical examinations and investigations undertaken, which finally led to the diagnosis of septic pulmonary emboli. Although this condition is rare, having a high index of suspicion in patients with known risk factors may lead to early diagnosis and successful treatment.
摘要：
败血症性肺栓塞发生于感染的血栓栓塞——通常来自感染源，如脓肿——进入静脉循环，植入肺部，进而导致实质感染。这一案例讨论对一名已知静脉吸毒者的患者的治疗和管理进行了坦率的反思，既往有深静脉血栓形成的病史和腹股沟脓肿的新表现。他最初由一名受训高级临床医生检讨，在医院工作了几个小时。本文将反思患者的介绍，进行的临床检查和调查，最终诊断为脓毒性肺栓塞。虽然这种情况很少见，在已知危险因素的患者中，高度怀疑可能会导致早期诊断和成功治疗。
