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Article in Japanese
An infectious pulmonary pseudoaneurysm resulting from Lemierre syndrome: A case report
Yuta Adachi Takashi Yamana Hiroaki Saito Takaaki Yamashita Kazuhito Saito Yoko Shinohara
Department of Respiratory Medicine, Tsuchiura Kyodo General Hospital
A 28-year-old previously healthy male was admitted to our hospital because of severe pharyngotonsillitis with septic pulmonary emboli; he was diagnosed with Lemierre syndrome. Although effective antibiotics were administered, pulmonary lesions worsened, resulting in massive hemoptysis, which was not fully relieved by bronchial artery embolization. Pulmonary artery angiography revealed a right pulmonary artery pseudoaneurysm. Embolization of this aneurysm completely resolved his hemoptysis. Infectious pulmonary artery pseudoaneurysms are rare but can be associated with fatal outcomes. In a case of hemoptysis secondary to bacterial infection, pulmonary artery pseudoaneurysms are to be considered.
Lemierre's syndrome Pulmonary artery pseudoaneurysms (PAPs)
Received 20 Aug 2015 / Accepted 1 Feb 2016
AJRS, 5(3): 150-153, 2016