|
Case 1 |
Case 2 |
Case 3 |
Case 4 |
Case 5 |
Age (in years) |
64 |
57 |
31 |
37 |
43 |
Gender |
F |
M |
M |
F |
M |
Comorbidities |
Type 2 DM |
Type 2 DM |
Cocaine abuse |
Heroin dependence |
Heroin dependence |
Presenting symptoms |
Confusion, Urinary frequency |
Fever, chills, pleuritic chest pain |
Fever, pleuritic chest pain |
Fever, cough, pleuritic chest pain |
Fever, leg pain, pleuritic chest pain |
Extrapulmonary source |
Left pyelonephritis |
Vertebral osteomyelitis,
paraspinal abscesses |
Left thigh pyomyositis |
Right thigh cellulitis/abscess |
Left thigh abscess |
Pathogen (isolation sites) |
MSSA (blood, urine) |
MSSA (blood, abscess) |
Group C B-hemolytic Streptococcus (blood, bronchoalveolar lavage) |
MRSA (blood, abscess) |
MSSA (blood, abscess) |
Thrombosis |
Right renal vein/inferior Vena cava |
Azygous vein |
Left femoral vein |
Right femoral vein |
Left femoral vein |
CXR findings |
Left lower lobe Consolidation |
Right upper lobe cavitary lesion |
Bilateral non specific infiltrates |
Bilateral non specific infiltrates |
Left lower lobe consolidation |
CT findings |
Bilateral nodules, effusion, consolidation left |
Bilateral cavitary nodules, consolidation |
Bilateral cavitary nodules, pleural effusions |
Bilateral cavitary nodules |
Bilateral cavitary nodules |
Echocardiogram |
No vegetations*
|
No vegetations*
|
No vegetations |
Tricuspid vegetations |
No vegetations*
|
TIA/Stroke, systemic embolic phenomena |
None |
None |
None |
None |
None |
Hemorrhaghic complications |
None |
None |
Hemopericardium |
None |
None |
Follow up Imaging |
Resolving |
Resolving |
Resolving |
Resolving |
Resolving |