One Case about the Diagnosis and Treatment of Right-Sided Infective Endocarditis without Any Inducement (Short Report)
Shengsen Chen*,
Kangkang Yu*,
Qingxia Ling,
Chong Huang,
Jianming Zheng,
Qi Cheng,
Mengqi Zhu,
Ning Li,
Mingquan Chen
Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai, China.
DOI: 10.4236/crcm.2014.312134
PDF HTML XML
3,329
Downloads
4,224
Views
Citations
Abstract
We present a case of Staphylococcus aurous tricuspid valve endocarditis without any risk factors (intravenous drug users, with pacemaker or central venous lines and with congenital heart disease). Transthoracic echocardiography, as first line examination, showed the vegetations on tricuspid valve. In our case, the diagnosis and treatment of right-sided infective endocarditis without any inducement were extremely difficult. Therefore, once a patient comes out with fever, the blood culture remains positive for gram-positive bacterium, and the infectious location still unknown, then the infective endocarditis should be considered. In addition, surgical measure is also an important therapy for right-sided infective endocarditis.
Share and Cite:
Chen, S. , Yu, K. , Ling, Q. , Huang, C. , Zheng, J. , Cheng, Q. , Zhu, M. , Li, N. and Chen, M. (2014) One Case about the Diagnosis and Treatment of Right-Sided Infective Endocarditis without Any Inducement.
Case Reports in Clinical Medicine,
3, 631-635. doi:
10.4236/crcm.2014.312134.
Conflicts of Interest
The authors declare no conflicts of interest.
References
|
[1]
|
Yuan, S.M. (2014) Right-Sided Infective Endocarditis: Recent Epidemiologic Changes. International Journal of Clinical and Experimental Medicine, 7, 199-218.
|
|
[2]
|
Fowler, V.J., Boucher, H.W., Corey, G.R., Abrutyn, E., Karchmer, A.W., Rupp, M.E., et al. (2006) Daptomycin versus Standard Therapy for Bacteremia and Endocarditis Caused by Staphylococcus aureus. New England Journal of Medicine, 355, 653-665.
http://dx.doi.org/10.1056/NEJMoa053783
|
|
[3]
|
Steenbergen, J.N., Alder, J., Thorne, G.M. and Tally, F.P. (2005) Daptomycin: A Lipopeptide Antibiotic for the Treatment of Serious Gram-Positive Infections. Journal of Antimicrobial Chemotherapy, 55, 283-288.
http://dx.doi.org/10.1093/jac/dkh546
|
|
[4]
|
Sader, H.S., Streit, J.M., Fritsche, T.R. and Jones, R.N. (2004) Antimicrobial Activity of Daptomycin against Multidrug-Resistant Gram-Positive Strains Collected Worldwide. Diagnostic Microbiology and Infectious Disease, 50, 201-204.
http://dx.doi.org/10.1016/j.diagmicrobio.2004.07.002
|
|
[5]
|
Rehm, S.J., Boucher, H., Levine, D., Campion, M., Eisenstein, B.I., Vigliani, G.A., et al. (2008) Daptomycin versus Vancomycin plus Gentamicin for Treatment of Bacteraemia and Endocarditis Due to Staphylococcus aureus: Subset Analysis of Patients Infected with Methicillin-Resistant Isolates. Journal of Antimicrobial Chemotherapy, 62, 1413-1421.
http://dx.doi.org/10.1093/jac/dkn372
|
|
[6]
|
Pierce, D., Calkins, B.C. and Thornton, K. (2012) Infectious Endocarditis: Diagnosis and Treatment. American Family Physician, 85, 981-986.
|