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An Unusual Case of Mucinous Adenocarcinoma of the Lung Presenting as Septic Emboli

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dc.contributor.authorDeMars, Brinnen
dc.contributor.authorKhan, Mohammaden
dc.contributor.authorLebel, David P.en
dc.contributor.authorGiri, Badrien
dc.date.accessioned2023-08-29T12:57:20Zen
dc.date.available2023-08-29T12:57:20Zen
dc.date.issued2023-06en
dc.date.updated2023-08-29T01:15:43Zen
dc.description.abstractThis is a case of a 92-year-old female with multiple hospitalizations for dyspnea on exertion and hypoxemia. Her symptoms were initially thought to be secondary to pneumonia, and on subsequent admission, culture-negative endocarditis. A computed tomography (CT) of the chest was remarkable for numerous bilateral lung nodules of varying size, some of which had a cavitary appearance raising concern for septic emboli. While a transthoracic echo was unremarkable, a transesophageal echo found a small 3 mm echodensity at the tip of the right coronary leaflet of the aortic valve and a possible mobile echodensity on the tricuspid valve leaflet. These findings further supported a clinical diagnosis of endocarditis with septic emboli in the lungs. Initial bronchoscopy yielded an unremarkable biopsy and a bronchial alveolar lavage with the growth of <i>Actinomyces odontolyticus</i>. During a subsequent hospitalization, a repeat bronchoscopy with transbronchial biopsy revealed a final diagnosis of invasive pulmonary mucinous adenocarcinoma. This case highlights a unique presentation of mucinous adenocarcinoma of the lung initially masquerading as septic emboli, resulting in a delay in the final diagnosis.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.7759/cureus.40326en
dc.identifier.eissn2168-8184en
dc.identifier.issn2168-8184en
dc.identifier.issue6en
dc.identifier.otherPMC10338047en
dc.identifier.pmid37448412en
dc.identifier.urihttp://hdl.handle.net/10919/116153en
dc.identifier.volume15en
dc.language.isoenen
dc.publisherSpringeren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/37448412en
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectadenocarcinoma lungen
dc.subjectcavitary lung lesionen
dc.subjectmucinous adenocarcinomaen
dc.subjectnonbacterial thrombotic endocarditisen
dc.subjectseptic pulmonary embolien
dc.subject32 Biomedical and Clinical Sciencesen
dc.subject3202 Clinical Sciencesen
dc.subjectLung Canceren
dc.subjectRare Diseasesen
dc.subjectCanceren
dc.subjectClinical Researchen
dc.subjectHematologyen
dc.subjectLungen
dc.subject42 Health sciencesen
dc.titleAn Unusual Case of Mucinous Adenocarcinoma of the Lung Presenting as Septic Embolien
dc.title.serialCureusen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherCase Reportsen
dc.type.othercase-reporten
dcterms.dateAccepted2023-03-01en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Basic Scienceen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Basic Science/Basic Scienceen

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