Ozlen, BurcuCikmaz, TubaOzdemir, LeventHatipoglu, Osman N.2024-06-122024-06-1220062148-36202148-5402https://hdl.handle.net/20.500.14551/22920A 58 year-old woman was admitted to our emergency department with dyspnea, swelling and increased temperature of left leg. Since bilateral peripheral disseminated infiltrates on chest X-ray and severe hypoxemia in arterial blood gas were found, she was hospitalized with initial diagnosis of sepsis, Adult Respiratory Distress Syndrome, pulmonary embolism and vasculitis. Computed tomography revealed peripheral cavitary nodules in pulmonary paranchyme. Osteomyelitis was established in bone scan. Based on these findings the diagnosis was septic embolism secondary to osteomyelitis. Clinical and radiographic parameters were improved by empirical antibiotic therapy, noninvasive mechanical ventilation and other supportive care. Bilateral and peripheral infiltrates on chest x-ray; sub-pleural cavitary nodules on computed tomography and the presence of an extrapulmonary infection focus are significant clues that pneumonia may occur via hematogenous spread.trinfo:eu-repo/semantics/closedAccessOsteomyelitisSeptic EmbolismArticle83124127N/AWOS:000421774800006