치성감염에서 유래한 칸디다성 폐색전증으로 인한호흡곤란

Abstract

Septic pulmonary embolism is a rare disease entity that consists of pulmonary infection and embolism predominantly arisingfrom endocarditis and thrombophlebitis. We report a rare case of candidal septic pulmonary embolism secondary to odontogenicinfection 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 therapywas successful after Candida albicans was confirmed by his blood culture. Since proper identification and the resolution ofthe 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 examinationsshould be adopted.