Pulmonary septic emboli mimicking metastatic rhabdomyosarcoma

J Pediatr Surg. 1989 May;24(5):491-3. doi: 10.1016/s0022-3468(89)80410-5.


Central venous catheters have proven to be an important aid for the care of pediatric patients with malignancies receiving chemotherapy. A rare complication of such catheters is pulmonary septic emboli. This report describes a 15-year-old white girl with rhabdomyosarcoma who developed pulmonary nodules while on chemotherapy. These lesions appeared to be metastatic rhabdomyosarcoma. However, an excisional biopsy showed the lesions to be septic emboli. The patient was placed on antibiotic therapy and responded well. She was able to continue with her "front-line" therapy because the nodules were confirmed not to be metastatic disease.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Catheterization, Central Venous / adverse effects*
  • Diagnosis, Differential
  • Female
  • Humans
  • Lung Neoplasms / diagnosis*
  • Lung Neoplasms / secondary
  • Pulmonary Embolism / diagnosis*
  • Pulmonary Embolism / etiology
  • Rhabdomyosarcoma / diagnosis*
  • Rhabdomyosarcoma / secondary
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / etiology
  • Staphylococcus epidermidis