septic pulmonary embolism case report optimal outcome after insertion of an inferior vena cava filter in a patient with staphylococcus aureus bacteraemia感染性肺栓塞病例报告最优结果后插入下腔静脉滤器的金黄色葡萄球菌菌血症患者.pdfVIP

Hindawi Publishing Corporation International Journal of Pediatrics Volume 2010, Article ID 651023, 4 pages doi:10.1155/2010/651023 Case Report Septic Pulmonary Embolism Case Report: Optimal Outcome after Insertion of an Inferior Vena Cava Filter in a Patient with Staphylococcus aureus Bacteraemia Isabel Esteves,1 Sofia Vidal Castro,1 Francisco Abecasis,2 Cristina Camilo,2 Marisa Vieira,2 Dinis da Gama,3 and Manuela Correia2 1 Child and Family Department, Santa Maria Hospital, Intensive Care Unit, Avenida Professor Egas Moniz, 1649-035 Lisbon, Portugal 2 Paediatric Intensive Care Unit, Child and Family Department, Santa Maria Hospital, Lisbon Medical Faculty, Lisbon, Portugal 3 Vascular Surgery Department, Santa Maria Hospital, Lisbon Medical Faculty, Lisbon, Portugal Correspondence should be addressed to Isabel Esteves, isabel.castro.menezes@ Received 25 October 2009; Revised 23 February 2010; Accepted 31 March 2010 Academic Editor: Stefan Burdach Copyright © 2010 Isabel Esteves et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. A 14-year-old patient presented with bilateral pneumonia and pleural effusions, septic arthritis of the hip, deep venous thrombosis, and pulmonary thromboembolism. Methicillin-sensitive Staphylococcus aureus (S. aureus) containing the Panton Valentine Leukocidin (PVL) genes was isolated. Contraindication to anticoagulation prompted inferior vena cava filter placement. He completed 4 weeks of treatment with flucloxacillin, with good clinical outcome. S. aureus containing PVL genes should be sought in cases of necrotizing pneumonia as it seems to increase the ri