title: Septic intramuscular embolism in a neutropenic patient with myelodysplastic syndrome accompanied by asymptomatic septic pulmonary emboli.
abstract: Septic embolisms are rare disorders which are associated with increased mortality and morbidity. We describe a rare case of septic intramuscular embolism accompanied by asymptomatic pulmonary embolism in a neutropenic patient. Methicillin-sensitive Staphylococcus aureus (S. aureus) was detected and multiple nodules were revealed in both thighs and lung. Although he was treated with sensitive antibiotics to .S. aureus, the symptoms remained unchanged during the neutropenic period. Fever subsided rapidly and his thigh pain disappeared after neutropenia resolved. A prompt diagnosis and optimal therapeutic decisions are critical for the reduction of mortality.
authors.affiliation: Division of Hematology and Oncology, the Department of Internal Medicine, Jikei University School of Medicine, Tokyo.
authors.forename: Shingo
authors.initials: S
authors.lastname: Yano
authors.forename: Noriko
authors.initials: N
authors.lastname: Usui
authors.forename: Osamu
authors.initials: O
authors.lastname: Asai
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Dobashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Osawa
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takei
authors.forename: Shinobu
authors.initials: S
authors.lastname: Takahara
authors.forename: Yoji
authors.initials: Y
authors.lastname: Ogasawara
authors.forename: Yuko
authors.initials: Y
authors.lastname: Yamaguchi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Saito
authors.forename: Jiro
authors.initials: J
authors.lastname: Minami
authors.forename: Masayuki
authors.initials: M
authors.lastname: Kobayashi
mesh_terms: D004617:Embolism / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000209:etiology*; D009190:Myelodysplastic Syndromes / Q000150:complications*; D009503:Neutropenia / Q000150:complications*; D011655:Pulmonary Embolism / Q000209:etiology*; D018805:Sepsis / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications*