title: Septic pulmonary embolism associated with periodontal disease: reports of two cases and review of the literature.
abstract: We report two cases of septic pulmonary embolism associated with periodontitis. Chest CT revealed multiple nodular shadows with features characteristic of septic pulmonary embolism in both patients. Both patients had toothache, fever, and chest pain, and showed findings of periodontitis at initial presentation. Antimicrobial agents combined with dental surgery were successful in treatment. While septic pulmonary embolism from the lesions of periodontitis appears to be rare, periodontitis remains important in the differential diagnosis of septic pulmonary embolism.
authors.affiliation: Department of Clinical Research, Kure Kyosai Hospital, Kure, Japan. kcrosa12@astel.do-up.com
authors.forename: Yutaro
authors.initials: Y
authors.lastname: Shiota
authors.forename: Hitomi
authors.initials: H
authors.lastname: Arikita
authors.forename: Naokatsu
authors.initials: N
authors.lastname: Horita
authors.forename: Junichiro
authors.initials: J
authors.lastname: Hiyama
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ono
authors.forename: Shuji
authors.initials: S
authors.lastname: Ohkawa
authors.forename: Michio
authors.initials: M
authors.lastname: Yamakido
mesh_terms: D000368:Aged; D005491:Focal Infection, Dental; D006801:Humans; D008297:Male; D008875:Middle Aged; D010518:Periodontitis / Q000150:complications*; D011655:Pulmonary Embolism / Q000209:etiology*