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Septic Pulmonary Embolism Associated With Periodontal Disease*: Reports of Two Cases and Review of the Literature

Yutaro Shiota, MD, PhD, FCCP; Hitomi Arikita, MT; Naokatsu Horita, MD; Junichiro Hiyama, MD, PhD, FCCP; Tetsuya Ono, MD, PhD; Shuji Ohkawa, DDS, PhD; Michio Yamakido, MD, PhD, FCCP
Author and Funding Information

*From the Departments of Clinical Research (Dr. Shiota and Mr. Arikita), Internal Medicine (Drs. Horita, Hiyama, Ono, Yamakido), and Dentistry (Dr. Ohkawa), Kure Kyosai Hospital, Kure, Japan.

Address correspondence to: Yutaro Shiota, MD, PhD, FCCP, Kure Kyosai Hospital 2–3-28 Nishichuo, Kure 737-8505 Japan; e-mail: kcrosa12@astel.do-up.com



Chest. 2002;121(2):652-654. doi:10.1378/chest.121.2.652
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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.

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