1992
DOI: 10.1055/s-2007-1020158 View full text |Buy / Rent full text
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Abstract: Symptoms of a heart murmur in a 48-year-old male schizophrenic patient with self-injurious behaviour were investigated. Immediately noticeable were multiple scars on his hands. Clinical evidence of subcutaneous needles and aortic regurgitation was found. Echocardiography revealed a linear metallic foreign body across the interventricular septum. He underwent surgery and via a right atriotomy, a needle from the same location was removed.

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“…In several cases, SEB was basically asymptomatic . Life‐threatening complications requiring urgent medical intervention were reported, however, in five cases: (i) multiple subcutaneous and intramuscular abscesses infected with Staphylococcus aureus and Serratia marcescens with bacteremia , (ii) aortic regurgitation , (iii) empyema thoracis , (iv) low‐output shock related to a large pericardial effusion , and (v) pneumothorax .…”
Section: Resultsmentioning
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“…In several cases, SEB was basically asymptomatic . Life‐threatening complications requiring urgent medical intervention were reported, however, in five cases: (i) multiple subcutaneous and intramuscular abscesses infected with Staphylococcus aureus and Serratia marcescens with bacteremia , (ii) aortic regurgitation , (iii) empyema thoracis , (iv) low‐output shock related to a large pericardial effusion , and (v) pneumothorax .…”
Section: Resultsmentioning
“…Despite the insertion of sometimes very large numbers of foreign bodies, the medical consequences of SEB seem to be relatively mild. Except for one case of extensive subcutaneous infection, resulting from the insertion of multiple broken injection needles and the injection of fecal matter , most serious complications resulted from the additional insertion of sharp objects in the precordium or in the thoracic region . In these cases, and also when subcutaneous injection of elemental mercury was involved , surgical intervention was considered mandatory.…”
Section: Discussionmentioning