Article ; Online: Patient with systemic emboli in the setting of
BMJ case reports
2021 Volume 14, Issue 8
Abstract: A 34-year-old man with a medical history of injection drug use presented with 2 weeks of weakness, nausea, vomiting and septic shock secondary to infective endocarditis of a native tricuspid valve. On admission, CT chest demonstrated multiple cavitary ... ...
Abstract | A 34-year-old man with a medical history of injection drug use presented with 2 weeks of weakness, nausea, vomiting and septic shock secondary to infective endocarditis of a native tricuspid valve. On admission, CT chest demonstrated multiple cavitary lesions as well as numerous small infarcts seen on MRI brain concerning for systemic septic emboli. Subsequent transthoracic echo with bubble study revealed a large patent foramen ovale (PFO). The patient later received surgical debulking of his tricuspid valve vegetation with AngioVac. Subsequently, PFO closure was performed with a NobleStitch device. The case presented here demonstrates the importance of having a high index of suspicion with right-sided endocarditis and the development of other systemic signs and symptoms. It also underscores the necessity of a multidisciplinary team of cardiologists, surgeons, infectious disease specialists and intensivists in the treatment of these complicated patients. |
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MeSH term(s) | Adult ; Endocarditis/complications ; Endocarditis/diagnostic imaging ; Endocarditis/surgery ; Endocarditis, Bacterial/complications ; Endocarditis, Bacterial/diagnostic imaging ; Foramen Ovale, Patent/complications ; Foramen Ovale, Patent/diagnostic imaging ; Foramen Ovale, Patent/surgery ; Humans ; Klebsiella oxytoca ; Male ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery |
Language | English |
Publishing date | 2021-08-20 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2021-243370 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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