A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus

Septic pulmonary embolism (SPE) is caused by the microbe that is responsible for any clinical condition that may include urinary tract infections as in this case. We report a case of pyelonephritis with Klebsiella pneumoniae that led to SPE in an 80-year-old woman with poorly controlled diabetes mel...

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Autores principales: Katsumata, Miho, Miura, Masaki, Takizawa, Soichi, Inoue, Masaharu, Masuzawa, Masahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10097463/
https://www.ncbi.nlm.nih.gov/pubmed/37065415
http://dx.doi.org/10.7759/cureus.36098
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author Katsumata, Miho
Miura, Masaki
Takizawa, Soichi
Inoue, Masaharu
Masuzawa, Masahiro
author_facet Katsumata, Miho
Miura, Masaki
Takizawa, Soichi
Inoue, Masaharu
Masuzawa, Masahiro
author_sort Katsumata, Miho
collection PubMed
description Septic pulmonary embolism (SPE) is caused by the microbe that is responsible for any clinical condition that may include urinary tract infections as in this case. We report a case of pyelonephritis with Klebsiella pneumoniae that led to SPE in an 80-year-old woman with poorly controlled diabetes mellitus (DM). Computed tomography (CT) revealed multiple nodules in the peripheral area of the bilateral lung and a contrast defect in the right renal vein, which was suspected to be an embolism. Blood and urine cultures revealed Klebsiella pneumoniae infection. These results confirmed the diagnosis of pyelonephritis and SPE. Treatment with ceftriaxone, cefazolin, and ciprofloxacin improved the patient’s condition.
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spelling pubmed-100974632023-04-13 A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus Katsumata, Miho Miura, Masaki Takizawa, Soichi Inoue, Masaharu Masuzawa, Masahiro Cureus Endocrinology/Diabetes/Metabolism Septic pulmonary embolism (SPE) is caused by the microbe that is responsible for any clinical condition that may include urinary tract infections as in this case. We report a case of pyelonephritis with Klebsiella pneumoniae that led to SPE in an 80-year-old woman with poorly controlled diabetes mellitus (DM). Computed tomography (CT) revealed multiple nodules in the peripheral area of the bilateral lung and a contrast defect in the right renal vein, which was suspected to be an embolism. Blood and urine cultures revealed Klebsiella pneumoniae infection. These results confirmed the diagnosis of pyelonephritis and SPE. Treatment with ceftriaxone, cefazolin, and ciprofloxacin improved the patient’s condition. Cureus 2023-03-13 /pmc/articles/PMC10097463/ /pubmed/37065415 http://dx.doi.org/10.7759/cureus.36098 Text en Copyright © 2023, Katsumata et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Katsumata, Miho
Miura, Masaki
Takizawa, Soichi
Inoue, Masaharu
Masuzawa, Masahiro
A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title_full A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title_fullStr A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title_full_unstemmed A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title_short A Case of Septic Pulmonary Embolism Caused by Pyelonephritis With Klebsiella pneumoniae in a Patient With Poorly Controlled Type 2 Diabetes Mellitus
title_sort case of septic pulmonary embolism caused by pyelonephritis with klebsiella pneumoniae in a patient with poorly controlled type 2 diabetes mellitus
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10097463/
https://www.ncbi.nlm.nih.gov/pubmed/37065415
http://dx.doi.org/10.7759/cureus.36098
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