J Korean Dent Soc Anesthesiol.  2014 Jun;14(2):115-117. 10.17245/jkdsa.2014.14.2.115.

Dyspnea Due to Candidal Septic Pulmonary Embolism Originated from Odontogenic Infection

• Jeong KH
• Cho HJ
• Jang KS
• Jeon JY
• Shim KS
• Hwang KG
• Park CJ

• KMID: 2344997
• DOI: http://doi.org/10.17245/jkdsa.2014.14.2.115

Abstract

Septic pulmonary embolism is a rare disease entity that consists of pulmonary infection and embolism predominantly arising from endocarditis and thrombophlebitis. We report a rare case of candidal septic pulmonary embolism secondary to odontogenic infection in a previously healthy and immunocompetent man, who had a submandibular abscess with dyspnea and fever. The patient was not responsive to prolonged broad spectrum antibiotics and surgical drainage, however, antifungal therapy was successful after Candida albicans was confirmed by his blood culture. Since proper identification and the resolution of the septic origin is as important as the diagnosis of septic pulmonary embolism, in a patient with odontogenic infection, who shows definite respiratory complications despite antimicrobial therapy with surgical drainage, various culture examinations should be adopted.

Keyword

Candida; Focal infection, Dental; Pulmonary embolism

MeSH Terms

Abscess
Anti-Bacterial Agents
Candida
Candida albicans
Diagnosis
Drainage
Dyspnea*
Embolism
Endocarditis
Fever
Focal Infection, Dental
Humans
Pulmonary Embolism*
Rare Diseases
Thrombophlebitis
Anti-Bacterial Agents