An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse

Infective endocarditis, caused by Pseudomonas aeruginosa, is rarely seen in clinical practice. It has been reported mainly in intravenous drug abusers (IVDA). We present a case of a 63-year-old male who presented with abdominal pain and fever. Computed tomography (CT) abdomen showed splenic and rena...

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Autores principales: Mahajan, Ankit, Amer, Mohammad, Awan, Ahmad, Tiruneh, Fasil, Gandotra, Charu, Curry, Bryan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2017
Materias:
Infectious Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703591/
https://www.ncbi.nlm.nih.gov/pubmed/29188161
http://dx.doi.org/10.7759/cureus.1717
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author Mahajan, Ankit
Amer, Mohammad
Awan, Ahmad
Tiruneh, Fasil
Gandotra, Charu
Curry, Bryan
author_facet Mahajan, Ankit
Amer, Mohammad
Awan, Ahmad
Tiruneh, Fasil
Gandotra, Charu
Curry, Bryan
author_sort Mahajan, Ankit
collection PubMed
description Infective endocarditis, caused by Pseudomonas aeruginosa, is rarely seen in clinical practice. It has been reported mainly in intravenous drug abusers (IVDA). We present a case of a 63-year-old male who presented with abdominal pain and fever. Computed tomography (CT) abdomen showed splenic and renal infarct. The blood culture grew Pseudomonas aeruginosa. A transthoracic echocardiogram showed aortic insufficiency with 13 mm mobile vegetation. The patient was started on ceftazidime and tobramycin and, later on, surgery was done for aortic valve replacement. His stay was complicated by multiple hemorrhagic emboli in the brain. This case highlights the importance of the early diagnosis and management of infective endocarditis caused by Pseudomonas aeruginosa.
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spelling pubmed-57035912017-11-29 An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse Mahajan, Ankit Amer, Mohammad Awan, Ahmad Tiruneh, Fasil Gandotra, Charu Curry, Bryan Cureus Infectious Disease Infective endocarditis, caused by Pseudomonas aeruginosa, is rarely seen in clinical practice. It has been reported mainly in intravenous drug abusers (IVDA). We present a case of a 63-year-old male who presented with abdominal pain and fever. Computed tomography (CT) abdomen showed splenic and renal infarct. The blood culture grew Pseudomonas aeruginosa. A transthoracic echocardiogram showed aortic insufficiency with 13 mm mobile vegetation. The patient was started on ceftazidime and tobramycin and, later on, surgery was done for aortic valve replacement. His stay was complicated by multiple hemorrhagic emboli in the brain. This case highlights the importance of the early diagnosis and management of infective endocarditis caused by Pseudomonas aeruginosa. Cureus 2017-09-27 /pmc/articles/PMC5703591/ /pubmed/29188161 http://dx.doi.org/10.7759/cureus.1717 Text en Copyright © 2017, Mahajan et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Infectious Disease
Mahajan, Ankit
Amer, Mohammad
Awan, Ahmad
Tiruneh, Fasil
Gandotra, Charu
Curry, Bryan
An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title_full An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title_fullStr An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title_full_unstemmed An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title_short An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse
title_sort invasive case of left-sided endocarditis caused by pseudomonas aeruginosa in a patient with history of intravenous drug abuse
topic Infectious Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703591/
https://www.ncbi.nlm.nih.gov/pubmed/29188161
http://dx.doi.org/10.7759/cureus.1717
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