Metastatic nodular pneumonia due to septic embolism: a Staphylococcal infection
Journal Title: Journal of Advances in Internal Medicine - Year 2014, Vol 3, Issue 2
Abstract
Ill-defined lung nodules mimicking secondary metastasis caused by Staphylococcus aureus though defined, is uncommon. We report a 58 years male with chest pain, dry cough, fever and abscess over the nape of neck. Bilateral nodules in the chest x-ray resembled metastasis. Workup for malignancy was negative. Induced sputum grew Staphylococcus aureus resistant to penicillin group. The lesions cavitated and produced air-fluid levels. Computed tomography confirmed the peripheral location, right sided hydropneumothorax and loculated fissural collection. Recovery was favourable but delayed with injectable ceftriaxone and levofloxacin initially followed by oral levofloxacin. Review chest radiograph showed residual cavities with small pneumothorax. Follow-up after three months showed resolution of all cavities and pneumothorax. Literature review revealed both Methicillin sensitive and resistant staphylococcus aureus can cause metastatic nodular pneumonia. Rapidly necrosis occurs if the organisms are capable of producing the toxin: Panton-Valentine Leukocidin. But this tendency is more common with community-acquired methicillin resistant strains.
Authors and Affiliations
Sanjeet Krishna Shrestha*| DM resident, Pulmonary, Critical care and Sleep Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal, Brajendra Srivastava| Consultant, Department of Respiratory Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal, Rabindra Khunjeli| Consultant, Department of Respiratory Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal, Ushab Rana Mousin| Consultant, Department of Respiratory Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Keywords
Related Articles
- EP ID EP4789
- DOI http://dx.doi.org/10.3126/jaim.v3i2.14068
- Views 503
- Downloads 21
COMPARATIVE ANALYSIS OF DRY AND WET PROCESSING OF COFFEE WITH RESPECT TO QUALITY AND COST IN KAVRE DISTRICT, NEPAL: A CASE OF PANCHKHAL VILLAGE
A study was conducted at Panchkhal Village Development Committee (VDC) in Kavre district to compare and analyze two processing methods (dry and wet methods) with respect to quality and benefit cost ratio.
EFFECT OF ORGANIC AND INORGANIC SOURCES OF NITROGEN ON GROWTH AND YIELD COMPONENTS OF MAIZE (ZEA MAYS L.)
A field experiment was carried out to study growth and yield response of maize (Zea mays L.) to organic and inorganic sources of nitrogen . Two maize varieties namely Azad-22 and Azad-28 were fertilized with farm yard ma...
THE EFFECT OF AQUATIC EXTRACT FROM SALIX SPP GALL ON MULTIPLICATION AND RHIZOGENESIS OF THE SALIX ALBA EXPLANTS
In order to evaluate effects of Salix Spp gall’s extract on multiplication and rhizogenesis of the explant’s Salix Alba, this study was conducted in 2009 based on a completely randomized design. Galls extract concentrati...
CONSTRAINTS IN PRODUCTION AND MARKETING OF PAPAYA IN RAIPUR DISTRICT OF CHHATTISGARH
This study aims to define the critical constraints in production and marketing of papaya in Raipur district of Chhattisgarh. The five villages of Dharshiwa block namely Chandandih, Tendua, Bhatagaon, Datrenga and Kathadi...
Effect of a yoga intervention on hypertensive diabetic patients
Background - The concept of psychosomatic medicine has gained popularity, with yoga racing ahead in the field. The present study was conducted to assess the effectiveness of yoga as an intervention in the management of p...