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A Case of Acinetobacter Septic Pulmonary Embolism in an Infant
Poonam Wade1, Anitha Ananthan1, Jane David1
1Department of Pediatrics, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai 400008, India.
Insights
Acinetobacter species caused septic pulmonary embolism in an infant, leading to fever and breathlessness. Early diagnosis with blood cultures and CT scans, followed by antibiotics, resulted in complete recovery.
Area of Science:
- Pediatrics
- Infectious Diseases
- Radiology
Background:
- Septic pulmonary embolism is a rare but serious condition, often presenting with non-specific respiratory symptoms.
- Acinetobacter species are increasingly recognized as a cause of severe hospital-acquired infections.
Purpose of the Study:
- To report a case of septic pulmonary embolism caused by Acinetobacter species in an infant.
- To highlight the diagnostic utility of blood cultures and computed tomography (CT) of the chest.
- To emphasize the importance of early diagnosis and appropriate antimicrobial therapy.
Main Methods:
- A case study of an 11-month-old girl presenting with fever and breathlessness.
- Diagnostic workup included chest radiography, computed tomography (CT) of the chest, and blood cultures.
- Treatment involved broad-spectrum antibiotics, Meropenem and Vancomycin.
Main Results:
- Chest radiograph showed diffuse infiltrations and cavities; CT revealed multiple cystic spaces and emboli.
- Blood cultures identified Acinetobacter species as the causative agent.
- The patient achieved complete clinical and radiological recovery after antibiotic treatment.
Conclusions:
- Blood cultures and CT scans are crucial for diagnosing septic pulmonary embolism.
- Prompt diagnosis and targeted antimicrobial therapy are essential for favorable outcomes in pediatric septic pulmonary embolism.
Abstract:
Case Characteristics. An 11-month-old girl presented with fever and breathlessness for 5 days. Patient had respiratory distress with bilateral coarse crepitations. Chest radiograph revealed diffuse infiltrations in the right lung with thick walled cavities in mid and lower zone. Computed tomography showed multiple cystic spaces and emboli. Blood culture grew Acinetobacter species. Intervention. Patient was treated with Meropenem and Vancomycin. Outcome. Complete clinical and radiological recovery was seen in child. Message. Blood cultures and CT of the chest are invaluable in the evaluation of a patient with suspected septic pulmonary embolism. With early diagnosis and appropriate antimicrobial therapy, complete recovery can be expected in patients with septic pulmonary embolism.
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