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Pulmonary Embolus Caused by Suttonella indologenes Prosthetic Endocarditis in a Pulmonary Homograft

Authors :
Jina Chung
Kimble Poon
Eric H. Yang
Priya Pillutla
Matthew J. Budoff
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.

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