Septic pulmonary embolism in Somali children: a retrospective study from a tertiary hospital - Scorecard - MDSpire

Septic pulmonary embolism in Somali children: a retrospective study from a tertiary hospital

  • By

  • Mohamed Nur Ali

  • Mustafa Gahnug

  • Ali Abdi Jama

  • Mahad Sadik Mukhtar

  • Mohamed Yaqub Hassan

  • Farah Ali Ahmed

  • Yasir Khalif Ali

  • Farah Abdullahi Ismail

  • Shuayb Moallim Ali Jama

  • Nur Adam Mohamed

  • İbrahim Abukar Abdi

  • Abdisalam Ismail Hassan

  • Ismail Gedi Ibrahim

  • Abdirahman Mohamed Jimale

  • Mohamed Sheikh Hassan

  • Said Abdirahman Ahmed

  • May 13, 2026

  • 0 min

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Clinical Scorecard: Pulmonary Embolism Due to Sepsis in Pediatric Patients: A Retrospective Analysis from a Tertiary Care Facility in Somalia

At a Glance

CategoryDetail
ConditionSeptic Pulmonary Embolism (SPE)
Key MechanismsLodging of infected thrombi from primary extra-pulmonary infectious focus into pulmonary vasculature.
Target PopulationChildren aged < 18 years
Care SettingTertiary care facility in Somalia

Key Highlights

  • 80% of cases were male, median age 12 years.
  • Common sources included skin and soft-tissue infections, trauma-related sepsis.
  • Staphylococcus aureus was the predominant pathogen.
  • 33% of patients required ICU admission; anticoagulation used in 93%.
  • No in-hospital deaths reported.

Guideline-Based Recommendations

Diagnosis

  • Utilize contrast-enhanced CT for greater diagnostic sensitivity.
  • Look for characteristic radiological patterns such as peripheral nodules and cavitary lesions.

Management

  • Timely antimicrobial therapy and anticoagulation are crucial.
  • Consider procedural interventions for drainage or surgical control of the primary infection.

Monitoring & Follow-up

  • Monitor inflammatory markers and clinical status, especially in ICU patients.

Risks

  • Delayed diagnosis can lead to significant morbidity.
  • Common predisposing conditions include central venous catheters and trauma.

Patient & Prescribing Data

Pediatric patients with septic pulmonary embolism.

Early diagnosis and aggressive management improve outcomes.

Clinical Best Practices

  • Recognize non-specific symptoms that overlap with common respiratory infections.
  • Implement early imaging and microbiological assessment in suspected cases.
  • Educate healthcare providers on the importance of SPE recognition in low-resource settings.

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