PMC6010969_01
MICs for blood cultures growing methicillin-sensitive Staphylococcus aureus.
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Blood cultures grew MSSA (Fig. 1), and she was admitted to the ICU and treated with oxacillin.
CT chest with IV contrast revealing new septic emboli in the lung fields.
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Imaging revealed new septic emboli in the lung fields (Fig. 2).
A-C: CT chest with IV contrast revealing multiple new solid cavitary lesions bilaterally, C: left sided loculated effusion and D. 1.8 cm fluid attenuation within the left perihilar lung surrounding a consolidation, suspicious for a septic intravascular pulmonary embolism with abscess formation in the left main pulmonary artery. Fluid attenuation occludes in the distal left main pulmonary artery at its bifurcation with no contrast seen in the lower lobe pulmonary arteries. Associated pulmonary infarcts involving the majority of the left lower lobe and posterior upper lobe.
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IV contrast demonstrated multiple new solid cavitary lesions bilaterally, a left sided loculated effusion, and a 1.8 cm diameter fluid attenuation within the left perihilar lung surrounding a consolidation, suspicious for a septic intravascular pulmonary embolism with abscess formation in the left main pulmonary artery (Fig. 3). Imaging strongly indicated that the abscess was likely not within the wall of the pulmonary artery, but intraluminal, with inflammation of the artery wall.