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Pulmonary complications of infective endocarditis

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https://www.readbyqxmd.com/read/27784495/-extensive-burns-complicated-with-infective-endocarditis-and-septic-pulmonary-embolism-case-report-and-literature-review
#1
T S Li, Y Qi, Y Wang, Y X Wang, F Y Liu, L Dai, G G Xia
Objective: To improve the clinical recognition of infective endocarditis (IE) and septic pulmonary embolism (SPE) in patients with extensive burns. Methods: A case of large area burn complicated with IE and SPE confirmed by blood cultures and echocardiography was described. A literature review was performed with "burn" and "infective endocarditis" as the Chinese key words in Wanfang database; with "burn" and "infective endocarditis" as Mesh terms in PubMed. Results: The patient was a 37-year-old male with large area burn, who presented with fever and hemoptysis...
October 12, 2016: Chinese Journal of Tuberculosis and Respiratory Diseases
https://www.readbyqxmd.com/read/27493128/fungal-prosthetic-valve-endocarditis-with-mycotic-aneurysm-case-report
#2
Mariana Brandão, Jorge Almeida, Rita Ferraz, Lurdes Santos, Paulo Pinho, Jorge Casanova
Fungal prosthetic valve endocarditis is an extremely severe form of infective endocarditis, with poor prognosis and high mortality despite treatment. Candida albicans is the most common etiological agent for this rare but increasingly frequent condition. We present a case of fungal prosthetic valve endocarditis due to C. albicans following aortic and pulmonary valve replacement in a 38-year-old woman with a history of surgically corrected tetralogy of Fallot, prior infective endocarditis and acute renal failure with need for catheter-based hemodialysis...
September 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/27435910/septic-pulmonary-embolism-caused-by-infected-pacemaker-leads-after-replacement-of-a-cardiac-resynchronization-therapy-device
#3
Salah A M Said, Rogier Nijhuis, Anita Derks, Herman Droste
BACKGROUND Cardiac resynchronization therapy (CRT) has been demonstrated to reduce morbidity and mortality in patients with advanced, drug-refractory heart failure. Procedure-related mortality is less than 1% in larger studies. Approximately10% of CRT patients have to undergo surgical revision because of infections, dislocations, or unacceptable electrical behavior manifested as high threshold, unstable sensing, or unwanted phrenic nerve stimulation. CASE REPORT A 70-year-old man with symptomatic congestive heart failure underwent implantation of a biventricular pacemaker on the left anterior chest wall in 2003 and pulse generator exchange in August 2009...
2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/27414233/characteristics-of-congenital-coronary-artery-fistulas-complicated-with-infective-endocarditis-analysis-of-25-reported-cases
#4
Salah Am Said
Congenital coronary artery fistulas (CAFs) are infrequent congenital coronary artery anomalies. Complications such as left-to-right shunt, congestive heart failure, myocardial infarction, pericardial effusion, aneurysm formation, rupture, hemopericardium, pulmonary hypertension, infective endocarditis (IE), syncope, stroke, and sudden death may occur with a variable low frequency. To describe the clinical characteristics of patients with CAFs complicated by IE. A search was conducted through PubMed using the terms "CAFs" and "IE...
July 14, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27175632/a-rare-case-of-pulmonary-artery-dissection-associated-with-infective-endocarditis
#5
Xiaoqing Shi, Xiaoqin Wang, Chuan Wang, Kaiyu Zhou, Yifei Li, Yimin Hua
Pulmonary artery dissection (PAD) is a rare condition with high mortality and has not been reported in patient with infective endocarditis (IE). Here, we report the first case of such patient who experienced PDA and survived after surgical intervention.A 10-year-old female child was diagnosed as IE with a patent ductus arteriosis (PDA) and a vegetation on the left side of pulmonary artery trunk (10 × 5 mm). Following 3-week antibacterial treatment, the body temperature of patient returned to normal, and the size of vegetation reduced (7 × 3 mm)...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27122893/a-rare-and-life-threatening-complication-of-infective-endocarditis-pseudoaneurysm-of-the-mitral-aortic-intervalvular-fibrosa
#6
Chi-Wei Wang, Chu-Leng Yu, Hung-Chih Pan, Si-Wa Chan, Kuo-Yang Wang, Wei-Wen Lin
UNLABELLED: A 59 year-old previously healthy male was admitted to the hospital with fever reportedly several days in duration. His physical examination was unremarkable at first. Pneumonia was initially diagnosed, but acute pulmonary edema with a new grade III to and fro murmur developed 1 week later. Transesophageal echocardiography (TEE) disclosed a pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF). Subsequent consultation with a cardiovascular surgeon resulted in a repaired aorta with otherwise uneventful results...
July 2015: Acta Cardiol Sin
https://www.readbyqxmd.com/read/27075785/a-massive-haemothorax-as-an-unusual-complication-of-infective-endocarditis-caused-by-streptococcus-sanguinis
#7
Kyoung Jin Kim, Kang Won Lee, Ju Hee Choi, Jang Wook Sohn, Min Ja Kim, Young Kyung Yoon
OBJECTIVE AND IMPORTANCE: Infective endocarditis involving the tricuspid valve is an uncommon condition, and a consequent haemothorax associated with pulmonary embolism is extremely rare. Particularly, there are no guidelines for the management of this complication. We describe a rare case of pulmonary embolism and infarction followed by a haemothorax due to infective endocarditis of the tricuspid valve caused by Streptococcus sanguinis. CLINICAL PRESENTATION: A 25-year-old man with a ventricular septal defect (VSD) presented with fever...
August 2016: Acta Clinica Belgica
https://www.readbyqxmd.com/read/27074494/surgical-treatment-for-infective-endocarditis-a-single-centre-experience
#8
Sossio Perrotta, Anders Jeppsson, Victoria Fröjd, Gunnar Svensson
Objective A considerable proportion of patients with acute infective endocarditis require surgical treatment. The aim of this study was to collate our short- and medium-term results of surgical treatment of infective endocarditis and to compare the results in native and prosthetic endocarditis. Design Total 254 operations for infective endocarditis from January 2008 to May 2015 were included in this retrospective study. There were 182 operations for native valve endocarditis and 72 for prosthetic valve endocarditis...
April 13, 2016: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/27057231/rare-sequelae-following-ventriculoatrial-shunt-case-report-and-review-of-literature
#9
Vinu Venu Gopal, Anil Kumar Peethambaran
Ventriculoatrial shunt (VA) is one of the oldest solutions for hydrocephalus. However over subsequent years various complication of VA shunt such as obstructions, malposition, shunt infections, cardiac complications such as endocarditis, traumatic perforation, heart failure, tricuspid regurgitation, intraatrial thrombus, and pulmonary hypertension are reported. Hence, VA shunt procedure has fallen into disrepute. Still VA shunt may be a good option in selected patients with hostile peritoneum. Newer placement strategies and monitoring methods have been put forward to reduce complication following VA shunt...
April 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/26909200/combination-of-a-giant-dissected-ascending-aortic-aneurysm-with-multiple-fistulae-into-the-cardiac-chambers-caused-by-prosthetic-aortic-valve-endocarditis
#10
Feridoun Sabzi, Reza Faraji
The combination of a dissected ascending aortic aneurysm (AA) with multiple fistulae to the periaortic root structures is a life-threatening complication that occurs rarely after infective endocarditis of the prosthetic aortic valve. Many risk factors are potentially associated with this complication, including aortic diameter, connective tissue disease of the aortic wall, hypertension and infection. We report a rare case of dissected ascending AA with fistulae to the left atrium and pulmonary artery and a paravalvular leak in a 47-year-old woman with a history of an aortic valve replacement...
February 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/26904243/a-successful-percutaneous-mechanical-vegetation-debulking-used-as-a-bridge-to-surgery-in-acute-tricuspid-valve-endocarditis
#11
George Makdisi, Thomas Casciani, Thomas C Wozniak, David W Roe, Zubair A Hashmi
Timing of surgical management of acute infective endocarditis is a major challenge, with respect to surgical complications, risks of recurrences and optimal valve repair or replacement. We present a case of a 24-year-old male with a history of intravenous drug abuse, who was referred to our center after 10 days of medical management of acute infective endocarditis. Upon arrival he was in septic shock, multi-organ failure, and mobile vegetations on the tricuspid valve with severe tricuspid regurgitation. He also had bilateral pulmonary infarcts and an ischemic stroke in the right parietal lobe...
January 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26653697/isolated-pulmonic-valve-endocarditis-presenting-as-neck-pain
#12
Aditya Goud, Abdelhai Abdelqader, Chanukya Dahagam, Sriram Padmanabhan
We discuss a unique case of a 52-year-old man with no history of intravenous drug use or dental procedures who presented with neck pain, 2 weeks of fevers, chills, night sweats, cough, and dyspnea found to have isolated pulmonic valve (PV) endocarditis. The patient did not have an associated murmur, which is commonly seen in right-sided infectious endocarditis. A transthoracic echocardiogram showed a thickened PV leaflet, with subsequent transesophageal echocardiogram showing a PV mass. Speciation of blood cultures revealed Streptococcus oralis...
2015: Journal of Community Hospital Internal Medicine Perspectives
https://www.readbyqxmd.com/read/26640719/insights-into-the-mechanism-of-severe-mitral-regurgitation-rt-3d-tee-guided-management-with-pathological-correlation
#13
Senthil Anand, Naktal Hamoud, Jess Thompson, Rajesh Janardhanan
Mitral valve perforation is an uncommon but important complication of infective endocarditis. We report a case of a 65-year-old man who was diagnosed to have infective endocarditis of his mitral valve. Through the course of his admission he had a rapid development of hemodynamic instability and pulmonary edema secondary to acutely worsening mitral regurgitation. While the TEE demonstrated an increase in the size of his bacterial vegetation, Real Time 3D TEE was ultimately the imaging modality through which the valve perforation was identified...
2015: Case Reports in Cardiology
https://www.readbyqxmd.com/read/26605134/a-rare-case-of-aortic-sinuses-of-valsalva-fistula-to-multiple-cardiac-chambers-secondary-to-periannular-aortic-abscess-formation-from-underlying-brucella-endocarditis
#14
Feridoun Sabzi, Aghighe Heidari, Reza Faraji
The concomitant presence of abnormal connection from three aortic valsalva sinuses to cardiac chambers is a rare complication of native aortic Brucella endocarditis. This case report presents a 37-year-old Iranian female patient who had native aortic valve Brucella endocarditis complicated by periannular abscess formation and subsequent perforation to multi-cardiac chambers associated with congestive heart failure and left bundle branch block. Multiple aorto-cavitary fistulas to right atrium, main pulmonary artery, and formation of a pocket over left atrial roof were detected by transthoracic echocardiogram (TTE)...
2015: GMS Hygiene and Infection Control
https://www.readbyqxmd.com/read/26548371/staphylococcus-aureus-bacteraemia-associated-with-injected-new-psychoactive-substances
#15
D J Griffith, C L Mackintosh, D Inverarity
Injecting drug use is often associated with deep-seated infection. In Lothian in Scotland there has been a recent increase in the use of injected new psychoactive substances (NPS). Patients who have injected NPS have presented with Staphylococcus aureus bacteraemia (SAB) with life-threatening complications. We describe a unique case-series of 14 episodes of SAB in ten patients. Users of injected NPS had a significantly higher incidence of endocarditis and cavitating pulmonary lesions (P < 0·05) compared to those who inject only opiates...
April 2016: Epidemiology and Infection
https://www.readbyqxmd.com/read/26471429/the-diagnostic-ability-of-echocardiography-for-infective-endocarditis-and-its-associated-complications
#16
REVIEW
Isidre Vilacosta, Carmen Olmos, Alberto de Agustín, Javier López, Fabián Islas, Cristina Sarriá, Carlos Ferrera, Carlos Ortiz-Bautista, Cristina Sánchez-Enrique, David Vivas, Alberto San Román
Echocardiography, transthoracic and transoesophageal, plays a key role in the diagnosis and prognosis assessment of patients with infective endocarditis. It constitutes a major Duke criterion and is pivotal in treatment guiding. Seven echocardiographic findings are major criteria in the diagnosis of infective endocarditis (IE) (vegetation, abscess, pseudoaneurysm, fistulae, new dehiscence of a prosthetic valve, perforation and valve aneurysm). Echocardiography must be performed as soon as endocarditis is suspected...
November 2015: Expert Review of Cardiovascular Therapy
https://www.readbyqxmd.com/read/26469252/-surgery-for-infective-endocarditis-involving-valve-annulus
#17
Kazuyuki Daitoku, Kaoru Hattori, Wakako Fukuda, Masahito Minakawa, Ikuo Fukuda
Surgical treatment for isolated infective endocarditis( IE) has been improving over the last 2 decades. However, surgery for complicated IE such as disruption of paravalvular structure remains a challenge. The aim of this retrospective study is to evaluate our surgical results for IE with paravalvular structural disruption. From January 2002 to March 2015, we performed cardiac surgery for 68 patients who suffered from IE. Thirteen patients had paravalvular abscess and fistula. Valve disruptions were seen in aortic valve in 10 patients [2 fistulas from right coronary cuspid to right atrium or ventricle, 3 abscess formation from right coronary cuspid to interventricular septum, 1 abscess formation from left coronary cuspid to anterior mitral leaflet, 1 left ventricle to right atrium communication from non-coronary cuspid (NCC), 2 abscess formation under NCC and 1 circular annulas infection]...
November 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/26101020/new-diagnostic-pathways-urgently-needed-protocol-of-pet-guidance-i-pilot-study-positron-emission-tomography-in-suspected-cardiac-implantable-electronic-device-related-infection
#18
Marta Barbara Marciniak-Emmons, Maciej Sterliński, Paweł Syska, Aleksander Maciąg, Michał Mirosław Farkowski, Bohdan Firek, Mirosław Dziuk, Dariusz Zając, Mariusz Pytkowski, Hanna Szwed
BACKGROUND: Cardiovascular implantable electronic device (CIED) infection is a complication of increasing incidence. We present a protocol of an observational case control clinical trial "Positron Emission Tomography Combined With Computed Tomography (PET CT) in Suspected Cardiac Implantable Electronic Device Infection, a Pilot Study - PET Guidance I" (NCT02196753). AIM: The aim of this observational clinical trial is to assess and standardise diagnostic algorithms for CIED infections (lead-dependent infective endocarditis, generator pocket infection, fever of unknown origin) with PET CT in Poland...
2016: Kardiologia Polska
https://www.readbyqxmd.com/read/26042414/rupture-of-an-infectious-pseudoaneurysm-of-the-aortic-arch-in-an-end-stage-renal-failure-patient-with-chronic-hemodialysis
#19
Sarah Chung, Dae Eun Choi, Ki Ryang Na, Kang Wook Lee
In hemodialysis patients, vascular access infection remains a significant cause of morbidity and mortality. It has various complications, including bacterial endocarditis, spinal epidural abscess, osteomyelitis, septic arthritis, and septic pulmonary emboli. However, aortitis with infected pseudoaneurysm formation is very rare. Here, we report a case of necrotizing aortitis in a hemodialysis patient with an arteriovenous graft infection.
July 2015: Clinical Nephrology
https://www.readbyqxmd.com/read/25885138/idiopathic-mitral-valve-prolapse-with-tricuspid-aortic-and-pulmonary-valve-involvement-an-autopsy-case-report
#20
Heena M Desai, Gayathri P Amonkar
Mitral valve prolapse (MVP) is usually asymptomatic, but can be associated with complications such as infective endocarditis, mitral regurgitation, thromboembolism and sudden cardiac death. It has been very rarely reported to occur in association with other valvular involvement. A 55-year-old male patient was brought dead and at autopsy the mitral valve orifice was stenotic and the leaflets were enlarged, myxoid and bulging suggestive of MVP and chordae tendinae were thickened, stretched and elongated. Similar changes were seen in the tricuspid valve...
April 2015: Indian Journal of Pathology & Microbiology
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