ID | 61267 |
フルテキストURL | |
著者 |
Nishimura, Yoshito
Department of General Medicine, Okayama University Hospital
ORCID
publons
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Hagiya, Hideharu
Department of General Medicine, Okayama University Hospital
ORCID
Kaken ID
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Obika, Mikako
Department of General Medicine, Okayama University Hospital
ORCID
Kaken ID
publons
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Otsuka, Fumio
Department of General Medicine, Okayama University Hospital
ORCID
Kaken ID
publons
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抄録 | Septic pulmonary embolism (SPE) is a rare yet serious infectious disorder with nonspecific clinical findings due to microorganism-containing emboli disseminating from extrapulmonary infectious foci. It is unknown whether a positive blood culture correlates with a worse clinical outcome. We compared the clinical and microbiologic characteristics of patients with SPE divided into the culture-positive group and the culture-negative one. This study was a retrospective observational study of the patients diagnosed with SPE and treated in an academic hospital from April 2010 to May 2020. We identified six culture-positive and four culture-negative patients with SPE during the study period. The culture-positive group had significantly longer periods of hospitalization (median: 75 days, range: 45-125 days) than the culture-negative group (median: 14.5 days, range: 3-43 days) (p < 0.05), as well as significantly elevated serum C-reactive protein and procalcitonin. Patients with culture-negative SPE more commonly had odontogenic infections as the primary infectious foci. Our study highlights the importance of giving extra attention to SPE patients who have a positive blood culture, as they may have worse clinical outcomes. Physicians need to collaborate with dentists when faced with patients with culture-negative SPE, since they may have primary odontogenic infections.
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キーワード | septic pulmonary embolism
blood culture
procalcitonin
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発行日 | 2020-11-27
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出版物タイトル |
Pathogens
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巻 | 9巻
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号 | 12号
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出版者 | MDPI
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開始ページ | 995
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ISSN | 2076-0817
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2020 by the authors.
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.3390/pathogens9120995
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ライセンス | http://creativecommons.org/licenses/by/4.0/
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