A male patient in his 40s presented to us with a fever and sore throat that had persisted for 10 days. He had received antipyretic analgesics and antibacterial medications from his local physician, however, his symptoms had failed to improve. Consequently, he was rushed to our hospital with suspected acute tonsillitis. Erythema was observed in the bilateral tonsils, and a CT performed to assess the abscess cavity unexpectedly showed multiple peripheral nodules in the pulmonary arteries. Due to the plain CT imaging, we initially missed the intravascular lesion and suspected septic pulmonary embolism secondary to infective endocarditis in the right heart system, and promptly initiated treatment.
Shirotori et al. (Thu,) studied this question.