What the heck is a septic PE??

P_RN, ADN, RN · Jul 4, 2002

http://www.merck.com/pubs/mmanual/section16/chapter212/212g.htm

Septic phlebitis is possible whenever a septic process is present in the extremity distal to or at the level of the venous obstruction. Septic thrombi may form separately from the infectious focus or may occur in contiguity with the inflammatory area as part of a cellulitis.

OK let's see if I got this right.

An infection below a thrombus latches onto the thrombus and then when it lets loose it is a septic PE. Or it could be the infected stuff alone that travels.

ageless · Jul 4, 2002

http://www.baylorhealth.com/proceedings/14_3/14_3_zajicek.htm

Try this link..it sounds useful

Sleepyeyes · Jul 4, 2002

Thanks; the links were very helpful. :)

VickyRN, MSN, DNP, RN · Jul 4, 2002

I THINK I remember one or two cases of this, in conjunction with endocarditis (always a very serious disease requiring a long course of treatment with multiple antibiotics and ultimately open heart surgery to repair the damaged heart valves once the infection is resolved). One pt, if I remember correctly, had septic emboli which were loosed via the bloodstream from the vegetation on her heart valve--the emboli were scattered all over her body, to her brain, her liver, other places, producing grave damage. I think she originally contracted endocarditis because of rotten teeth.

disher · Jul 5, 2002

American Journal of Nursing has a fulltext online article on septic PE in the May 2002 edition. If you have OVID at work you should be able to access it, sorry I cannot send it as a link.

fedupnurse · Jul 5, 2002

When you are acutely septic you can throw micro emboli. It is nasty! They can and do go just about anywhere, lungs, brain, heart, extremities. We had a patient who was massively septic from a necrotic gallbladder. Her hands and feet turned black. Being on levophed didn't help but the actual cause was micro emoli. She lived, amazingly enough, and now has prosthetic hands and feet and is doing quite well. She wasn't a youngster when this happened either!

Sleepyeyes · Jul 5, 2002

Thank you all for the excellent information.

Though I work MS, I haven't often come across this Dx, and your thoughtful answers helped. :kiss

moonshadeau, ADN, BSN, MSN, RN, APN, NP, CNS · Jul 6, 2002

Md was talking with me about one of my patients and had mentioned septic PE. I immediately thought of this question. I know that they are treating it similar to endocarditis. Lots of Antibiotics.

jevans · Jul 6, 2002

That's the problem with abreviations in the UK PE is generally Pulmonary Embolus

So I would have read the post as an infective emboli of lung

Good luck

j