Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement

This report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed S...

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Autores principales: Meyer, Chloe Grace, Vacek, Thomas Paul, Bansal, Amit, Gurujal, Ravi, Parikh, Analkumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833164/
https://www.ncbi.nlm.nih.gov/pubmed/29511695
http://dx.doi.org/10.1177/2324709618759128
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author Meyer, Chloe Grace
Vacek, Thomas Paul
Bansal, Amit
Gurujal, Ravi
Parikh, Analkumar
author_facet Meyer, Chloe Grace
Vacek, Thomas Paul
Bansal, Amit
Gurujal, Ravi
Parikh, Analkumar
author_sort Meyer, Chloe Grace
collection PubMed
description This report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed Serratia marcescens pulmonic valve infective endocarditis that was treated with intravenous antibiotics. In addition to the rare form of endocarditis and bacterium involved, this case brings into awareness the dynamic nature of the hospital course that requires vigilance in responding to hypotensive episodes for consideration of pulmonary embolism. Surgical valve replacement was opted for due to such a complication in addition to the large size of the vegetation, 2.5 cm.
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spelling pubmed-58331642018-03-06 Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement Meyer, Chloe Grace Vacek, Thomas Paul Bansal, Amit Gurujal, Ravi Parikh, Analkumar J Investig Med High Impact Case Rep Case Report This report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed Serratia marcescens pulmonic valve infective endocarditis that was treated with intravenous antibiotics. In addition to the rare form of endocarditis and bacterium involved, this case brings into awareness the dynamic nature of the hospital course that requires vigilance in responding to hypotensive episodes for consideration of pulmonary embolism. Surgical valve replacement was opted for due to such a complication in addition to the large size of the vegetation, 2.5 cm. SAGE Publications 2018-02-26 /pmc/articles/PMC5833164/ /pubmed/29511695 http://dx.doi.org/10.1177/2324709618759128 Text en © 2018 American Federation for Medical Research http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Meyer, Chloe Grace
Vacek, Thomas Paul
Bansal, Amit
Gurujal, Ravi
Parikh, Analkumar
Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_full Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_fullStr Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_full_unstemmed Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_short Dynamic Course of Serratia marcescens Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_sort dynamic course of serratia marcescens pulmonic valve endocarditis resulting in submassive pe and valve replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833164/
https://www.ncbi.nlm.nih.gov/pubmed/29511695
http://dx.doi.org/10.1177/2324709618759128
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