Article Text

Reminder of important clinical lesson
Pulmonary infarction from central venous air embolism mimicking round pneumonia
  1. Lung-Chun Lin1,
  2. Shih-Chi Ku2
  1. 1
    National Taiwan University Hospital, Cardiology, Internal Medicine, No 7 Chung-Shan South Road, Taipei, 100, Taiwan, Province of China
  2. 2
    National Taiwan University Hospital, Respiratory medicine, No 7 Chung-Shan South Road, Taipei, 106, Taiwan, Province of China
  1. anniejou{at}


A 49-year-old man with an 11 year history of dilated cardiomyopathy presented with a worsening of symptoms associated with an upper respiratory tract infection. During his hospitalisation, a central venous catheter (CVC) was inserted and this was complicated by pulmonary infarct from an air embolism. The infarct had the appearance of a round pneumonia on radiography. The patient died one week after the CVC insertion from cardiogenic shock and multi-organ failure.

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  • Competing interests: None.