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Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient

An 87-year-old Caucasian woman with hypertension, diabetes mellitus type 2, and COPD was admitted with 1-week duration of back pain and weight gain. The physical examination revealed jugular venous distention, rales in the left lower lung field, and severe pitting edema over lower extremities. As wo...

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Detalles Bibliográficos
Autores principales: Liu, Dongyan, Bateman, Thomas, Carr, Elisabeth, Foster, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016745/
https://www.ncbi.nlm.nih.gov/pubmed/27609731
http://dx.doi.org/10.3402/jchimp.v6.32357
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author Liu, Dongyan
Bateman, Thomas
Carr, Elisabeth
Foster, Paul
author_facet Liu, Dongyan
Bateman, Thomas
Carr, Elisabeth
Foster, Paul
author_sort Liu, Dongyan
collection PubMed
description An 87-year-old Caucasian woman with hypertension, diabetes mellitus type 2, and COPD was admitted with 1-week duration of back pain and weight gain. The physical examination revealed jugular venous distention, rales in the left lower lung field, and severe pitting edema over lower extremities. As workup for leukocytosis, blood cultures grew Gemella haemolysans. Subsequently, a transthoracic echocardiogram revealed vegetation on the non-coronary aortic leaflet and mild aortic stenosis. She was treated with ampicillin and gentamicin. After further investigation, the patient was diagnosed with plasma cell myeloma, the monoclonal lambda type. This is the first reported case of G. haemolysans endocarditis in a multiple myeloma patient.
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spelling pubmed-50167452016-09-26 Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient Liu, Dongyan Bateman, Thomas Carr, Elisabeth Foster, Paul J Community Hosp Intern Med Perspect Case Report An 87-year-old Caucasian woman with hypertension, diabetes mellitus type 2, and COPD was admitted with 1-week duration of back pain and weight gain. The physical examination revealed jugular venous distention, rales in the left lower lung field, and severe pitting edema over lower extremities. As workup for leukocytosis, blood cultures grew Gemella haemolysans. Subsequently, a transthoracic echocardiogram revealed vegetation on the non-coronary aortic leaflet and mild aortic stenosis. She was treated with ampicillin and gentamicin. After further investigation, the patient was diagnosed with plasma cell myeloma, the monoclonal lambda type. This is the first reported case of G. haemolysans endocarditis in a multiple myeloma patient. Co-Action Publishing 2016-09-07 /pmc/articles/PMC5016745/ /pubmed/27609731 http://dx.doi.org/10.3402/jchimp.v6.32357 Text en © 2016 Dongyan Liu et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Liu, Dongyan
Bateman, Thomas
Carr, Elisabeth
Foster, Paul
Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title_full Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title_fullStr Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title_full_unstemmed Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title_short Endocarditis due to Gemella haemolysans in a newly diagnosed multiple myeloma patient
title_sort endocarditis due to gemella haemolysans in a newly diagnosed multiple myeloma patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5016745/
https://www.ncbi.nlm.nih.gov/pubmed/27609731
http://dx.doi.org/10.3402/jchimp.v6.32357
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