Clinical Case Database / Category: Patient Management
Pneumothorax caused by Clostridium ramosum bacteraemia
Publication details
Ivan Tonna, MD, MRCPUK, MSc Infectious Diseases, FRCP (Edin), Kal Cave MBChB, MRCPUK, DTM&H
Foundation Years Journal, volume 9, issue 5, p.34 (123Doc Education, London, May 2015)
Abstract
Here we will present and discuss the case of a 33 year old injecting drug user presenting with sepsis and left-sided pneumothorax. He had recently been investigated and treated for a proximal right leg deep venous thrombosis (DVT). He was subsequently found to have Clostridium ramosum bacteraemia secondary to the infected DVT with subsequent development of multiple large septic pulmonary emboli (PE) and left-sided pneumothorax.
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Authors
Ivan Tonna, MD, MRCPUK, MSc Infectious Diseases, FRCP (Edin)
Infectious Diseases Consultant
Ward 111, Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
ivantonna@nhs.net
Kal Cave MBChB, MRCPUK, DTM&H (Corresponding author)
ST3 Infectious Diseases
Ward 111, Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
kal.cave@nhs.net
References
1. Sakuma M, Sugimura K, Nakamura M, et al. Unusual pulmonary embolism: septic pulmonary embolism and amniotic fluid embolism. Circ J 2007, 71(5):772-5.
2. Jaffe RB, Koschmann EB. Intravenous drug abuse. Pulmonary, cardiac and vascular complications. Am J Roentgenol 1970, 109:107-120.
3. Stawicki SP, Firstenberg MS, Lyaker MR, et al. Septic embolism in the intensive care unit. Int J Crit Illn Inj Sci 2013, 3(1):58-63
4. British Thoracic Society. Management of Spontaneous pneumothorax https://www.brit-thoracic.org.uk/document-library/clinical-information/pleural-disease/pleural-disease-guidelines-2010/appendix-3-spontaneous-pneumothorax-poster-pleural-disease-guideline/
5. British Thoracic Society Standards of Care Committee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2002, 57:289–304.
6. Merck Manual. Injection Drug Use http://www.merckmanuals.com/professional/special_subjects/drug_use_and_dependence/injection_drug_use.html
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