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Back pain, leg swelling and a cardiac arrest: an interesting case of endocarditis.
- Source :
-
BMJ case reports [BMJ Case Rep] 2014 May 23; Vol. 2014. Date of Electronic Publication: 2014 May 23. - Publication Year :
- 2014
-
Abstract
- A 66-year-old woman with a history of tissue aortic valve replacement and chronic back pain presented to the emergency department with a suspected right leg deep vein thrombosis. A recent outpatient MRI had revealed discitis. A ventricular fibrillation cardiac arrest occurred in the emergency department. Cardiac output was restored on the fifth defibrillation. A transthoracic echocardiogram showed large aortic valve vegetations. Clinical impression was of infective endocarditis with cardiac arrest secondary to coronary artery embolisation. Peripheral blood cultures grew Cardiobacterium hominis, and appropriate intravenous antibiotic therapy was administered. The infected prosthetic valve was excised. The patient experienced postoperative complete heart block and a right hemisphere cerebrovascular accident, however she is now recovering well. This case describes an unusual case of infective endocarditis secondary to C. hominis, with disc, leg, coronary artery and brain septic embolisation. Infective endocarditis is an important differential diagnosis in multisystem presentations.<br /> (2014 BMJ Publishing Group Ltd.)
- Subjects :
- Aged
Back Pain etiology
Embolism etiology
Female
Gram-Negative Bacterial Infections
Humans
Intervertebral Disc blood supply
Leg blood supply
Ventricular Fibrillation etiology
Aortic Valve
Cardiobacterium isolation & purification
Coronary Occlusion etiology
Discitis etiology
Endocarditis, Bacterial complications
Heart Arrest etiology
Heart Valve Prosthesis adverse effects
Intracranial Embolism etiology
Prosthesis-Related Infections complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2014
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 24859548
- Full Text :
- https://doi.org/10.1136/bcr-2013-202215