Infected Right Ventricle Thrombus as a Cause of Persistent Sepsis.
cocaine
infected cardiac thrombus
intravenous drug user
mssa bacteremia
sepsis
surgical resection
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
01 Oct 2020
01 Oct 2020
Historique:
entrez:
5
11
2020
pubmed:
6
11
2020
medline:
6
11
2020
Statut:
epublish
Résumé
The presentation of fevers in a patient with active intravenous (IV) drug use is often challenging, as there is a wide range of both infectious and noninfectious disorders that can cause fevers. A thorough diagnostic workup is essential in identifying the etiology of these fevers. We report a rare case of an infected right ventricular (RV) thrombus as a cause of persistent fever and sepsis in a 46-year-old patient with IV drug use. The patient continued to have persistent bacteremia inspite of appropriate IV antibiotics. Hence, the patient warranted a cardiothoracic surgical excision of the infected RV thrombus following which the patient showed remarkable improvement.
Identifiants
pubmed: 33150103
doi: 10.7759/cureus.10751
pmc: PMC7603886
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e10751Informations de copyright
Copyright © 2020, Arumairaj et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Int J Crit Illn Inj Sci. 2015 Apr-Jun;5(2):130-1
pubmed: 26157664
Intractable Rare Dis Res. 2016 Aug;5(3):177-84
pubmed: 27672540
World J Clin Cases. 2018 Jun 16;6(6):127-131
pubmed: 29988880
Eur Heart J. 1993 Jul;14(7):997-8
pubmed: 8375427
Case Rep Cardiol. 2019 Apr 7;2019:5083624
pubmed: 31089429
Chest. 1989 Jul;96(1):212-4
pubmed: 2736983
Interact Cardiovasc Thorac Surg. 2009 Oct;9(4):706-8
pubmed: 19592418
Heart. 2012 Dec;98(23):1743-9
pubmed: 23151669
Eur J Cardiothorac Surg. 2000 Sep;18(3):360-2
pubmed: 10973549
J Saudi Heart Assoc. 2011 Jul;23(3):155-7
pubmed: 24146531
Cureus. 2019 May 21;11(5):e4700
pubmed: 31355062
Infect Dis Clin North Am. 2009 Sep;23(3):643-64
pubmed: 19665088
Clin Infect Dis. 2000 Feb;30(2):374-9
pubmed: 10671344
Am J Med. 2016 Jun;129(6):576-9
pubmed: 26901112