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Pulmonary Embolus Caused by Suttonella indologenes Prosthetic Endocarditis in a Pulmonary Homograft
- Source :
- Journal of the American Society of Echocardiography. 24:592.e1-592.e3
- Publication Year :
- 2011
- Publisher :
- Elsevier BV, 2011.
-
Abstract
- A 28-year-old Cambodian man with a history of congenital heart disease presented with a 6-month history of increasing fatigue, night sweats, and weight loss. His surgical history included two Blalock-Taussig shunts, ventricular septal defect closure, and placement of a pulmonary valve conduit via a Rastelli procedure. Echocardiographic and cardiac computed tomographic studies revealed a vegetation in the pulmonary homograft. Blood cultures grew gram-negative rods that were eventually identified as Suttonella indologenes. The patient underwent a prolonged course of intravenous antibiotics, which was complicated by septic pulmonary embolism that clinically resolved. Bacterial endocarditis caused by aerobic gram-negative organisms is uncommon. The authors report the first case of S. indologenes endocarditis in a patient with complex congenital heart disease.
- Subjects :
- Adult
Graft Rejection
Male
medicine.medical_specialty
Cardiobacteriaceae
Heart disease
Septic pulmonary embolism
Internal medicine
medicine
Humans
Transplantation, Homologous
Endocarditis
Radiology, Nuclear Medicine and imaging
Suttonella indologenes
Ultrasonography
biology
business.industry
Endocarditis, Bacterial
Rastelli procedure
medicine.disease
biology.organism_classification
Anti-Bacterial Agents
Surgery
PULMONARY EMBOLUS
medicine.anatomical_structure
Heart Valve Prosthesis
Infective endocarditis
Pulmonary valve
Cardiology
Gram-Negative Bacterial Infections
Pulmonary Embolism
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 08947317
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Journal of the American Society of Echocardiography
- Accession number :
- edsair.doi.dedup.....ded830d6046c68fd3fd2e22353464f48
- Full Text :
- https://doi.org/10.1016/j.echo.2010.08.005