PMC6701397_01
(a, b) Computed tomography undertaken upon hospital admission (pulmonary window setting). Multiple bilateral peripheral pulmonary masses with cavitation and pleural effusion can be observed. (c) Contrast-enhanced computed tomography. Thrombosis of the right internal and external jugular vein can be observed (arrows). (d) Intraoral examination. Periodontal disease and multiple caries are revealed in the oral cavity.
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Chest computed tomography (CT) revealed cavitary lesions in both lung fields, and the nodules primarily occurred under the pleura (Figure 1(a) and 1(b)). CT, neck echocardiography, and intraoral examination were performed. Cervical contrast-enhanced CT and neck echocardiography revealed a thrombus in the right internal and external jugular veins, and emboli were present in both lung fields on chest CT (Figure 1(c)). Intraoral examination revealed periodontal disease and multiple caries in the oral cavity (Figure 1(d)).
Clinical course. (a) Initial 24 h in the ICU. (b) After 30 days of hospitalization.
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The patient's post-hospitalization course is given in Figure 2.