Article ; Online: Human bite wounds as a portal of entry for infective endocarditis and purulent pericarditis: a very rare association.
BMJ case reports
2021 Volume 14, Issue 4
Abstract: Human bites are an infrequent cause of emergency department visits and hospital admissions. There are rarely published cases of complicated infection, such as infective endocarditis. We present a rare case of a patient with acute infective endocarditis ... ...
| Abstract | Human bites are an infrequent cause of emergency department visits and hospital admissions. There are rarely published cases of complicated infection, such as infective endocarditis. We present a rare case of a patient with acute infective endocarditis in a healthy native valve and purulent pericarditis from a human bite. A 40-year-old man with obesity suffered deep human bites by an adult woman, with two deep lesions in the anterior thorax and one superficial lesion in the upper abdomen and admitted in intensive care unit with septic shock and a persistent aortic murmur. Echocardiography described evidence of vegetation, perforation and severe regurgitation of aortic valve. Scanner described moderate pericardial effusion. Cardiac surgery was performed, with evidence of purulent pericardial effusion after pericardiotomy, and subsequently aortic valve replacement with a 25 mm bioprosthesis. The patient showed positive progress. |
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| MeSH term(s) | Adult ; Aortic Valve ; Bites, Human ; Endocarditis ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnostic imaging ; Female ; Humans ; Male ; Pericarditis/diagnostic imaging ; Pericarditis/etiology |
| Language | English |
| Publishing date | 2021-04-09 |
| Publishing country | England |
| Document type | Case Reports ; Journal Article |
| ISSN | 1757-790X |
| ISSN (online) | 1757-790X |
| DOI | 10.1136/bcr-2020-241264 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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