Pulmonary Septic Emboli due to Azygos Vein Septic Thrombosis.

• Type of Material: Article
• Authors: Ginius Pradhan, Case Western Reserve University; Khaldoon Shaheen, Case Western Reserve University; Mary Muoneke, Emory University; Basel Altaqi, Case Western Reserve University
• Language: English
• Date: 2013-03-18
• Publisher: Hindawi Publishing Corporation
• Publication Version: Final Published Version
• Copyright Statement: © 2013 Ginius Pradhan et al.
• License: Creative Commons Attribution 3.0 Unported
• Final Published Version (URL): http://dx.doi.org/10.1155/2013/904057
• Title of Journal or Parent Work: Case Reports in Medicine
• ISSN: 1687-9627
• Volume: 2013
• Start Page: 904057
• End Page: 904057
• Research Categories: Health Sciences, General; Health Sciences, Medicine and Surgery

Abstract

The triad of extrapulmonary infection, contiguous septic vein thrombosis, and septic pulmonary embolism is a rare complex but associated with significant morbidity and mortality. Septic azygos vein thrombosis is extremely rare and potentially serious since it may also cause pulmonary emboli and sudden death. We report a case of a 32-year-old woman with history of IV drug abuse who presented with epidural abscess and methicillin-resistant S. aureus (MRSA) bacteremia. Later she developed signs of septic pulmonary embolism secondary to septic azygos vein thrombosis. With early diagnosis, appropriate antimicrobial therapy, and control of the infectious source, resolution of the illness can be expected for most patients with avoidance of potential complications.