A “strange cough”: 3D-echocardiography for diagnosis of late tricuspid valve endocarditis in a former drug addict with septic pulmonary emboli

Brunetti, Natale Daniele; Basile, David P.; Cillis, Emanuela De; Acquaviva, Tommaso; Boscia, Filippo; Bortone, Alessandro Santo

doi:10.1016/j.ijcard.2011.01.069

Cited by 3 publications

(3 citation statements)

References 5 publications

(6 reference statements)

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“…[6] With the increasing use of indwelling catheters and devices, the widespread use of hygienic syringes and increasing numbers of immunocompromised patients, cardiac SPE is now generally associated with cardiac device implants, intravascular catheters, and an immunocompromised state. [1,4,6,10,11] Occasionally, cardiac SPE can also be caused by congenital heart disease, [5,11–14] septic abortion, [15] and other conditions. In our study, the most common causes of cardiac SPE were various types of congenital heart disease, especially membranous ventricular septal defect (VSD), bicuspid aortic valve, and rupture of an aortic sinus aneurysm.…”

Section: Discussionmentioning

confidence: 99%

Cardiac septic pulmonary embolism

Song

Cao

et al. 2016

Medicine

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Based on the source of the embolus, septic pulmonary embolism (SPE) can be classified as cardiac, peripheral endogenous, or exogenous. Cardiac SPEs are the most common.We conducted a retrospective analysis of 20 patients with cardiac SPE hospitalized between 1991 and 2013 at a Chinese tertiary referral hospital.The study included 14 males and 6 females with a median age of 38.1 years. Fever (100%), cough (95%), hemoptysis (80%), pleuritic chest pain (80%), heart murmur (80%), and moist rales (75%) were common clinical manifestations. Most patients had a predisposing condition: congenital heart disease (8 patients) and an immunocompromised state (5 patients) were the most common. Staphylococcal (8 patients) and Streptococcal species (4 patients) were the most common causative pathogens. Parenchymal opacities, nodules, cavitations, and pleural effusions were the most common manifestations observed via computed tomography (CT). All patients exhibited significant abnormalities by echocardiography, including 15 patients with right-sided vegetations and 4 with double-sided vegetations. All patients received parenteral antimicrobial therapy as an initial treatment. Fourteen patients received cardiac surgery, and all survived.Among the 6 patients who did not undergo surgery, only 1 survived. Most patients in our cardiac SPE cohort had predisposing conditions. Although most exhibited typical clinical manifestations and radiography, they were nonspecific. For suspected cases of SPE, blood culture, echocardiography, and CT pulmonary angiography (CTPA) are important measures to confirm an early diagnosis. Vigorous early therapy, including appropriate antibiotic treatment and timely cardiac surgery to eradicate the infective source, is critical.

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Section: Discussionmentioning

confidence: 99%

Cardiac septic pulmonary embolism

Song

Cao

et al. 2016

Medicine

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“…Despite the progress in its knowledge and treatment, infective endocarditis [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] remains a therapeutic challenge [17]. We present a case of an infective endocarditis in a 62-year-old Italian man.…”

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confidence: 99%

The chance finding of echocardiographic complications of infective endocarditis

Pugliatti¹,

Gregorio²,

Patanè³

2012

International Journal of Cardiology

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“…The most frequent complications of aortic prosthetic valve endocarditis are periprosthetic abscess (probably with periprosthtetic dehiscence), different degrees of atrioventricular block or fistulas between aortic root and cardiac chamber [3,4].…”

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confidence: 99%