title: Septic renal vein thrombosis complicated by septic pulmonary embolism.
abstract: A 36-year-old HIV-infected man admitted with a possible pyelonephritis of the left kidney and a 3.5 cm thrombus of the left renal vein developed sudden onset of dyspnea. Multiple cavitating nodules revealed under CT were aspirated yielding purulent fluid. MRSA isolates, from both the lung and blood had identical susceptibility patterns. The patient failed to respond to antibiotics until intravenous heparin was begun.
authors.affiliation: Department of Cardiology, UAB Medical Center, LHRB 314, 1530 3rd Ave South, Birmingham, AL 35294, USA. fiqbal@uab.edu
authors.forename: Fahad M
authors.initials: FM
authors.lastname: Iqbal
authors.forename: Kamel
authors.initials: K
authors.lastname: Sadat
authors.forename: Joel B
authors.initials: JB
authors.lastname: Spear
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D015658:HIV Infections / Q000150:complications; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011859:Radiography; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000473:pathology*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D020246:Venous Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D006493:Heparin