Case report: Right-sided native endocarditis presenting with multiple abscess formations [care compliant]

Tsung-Yu Chan, Chih Chia Hsieh, Chien Liang Chen, Yao-Yi Huang, Chia-Chang Chuang

Research output: Contribution to journalArticle

Abstract

Introduction:Right-sided native endocarditis is a difficult case with fewer cardiac symptoms and fewer classic signs of cutaneous vascular lesions compared with left-sided endocarditis.Patient concerns:A 68-year-old Taiwanese man with a history of gouty arthritis, hyperlipidemia, and adrenal insufficiency presented to our ED and complained dyspnea and low back pain for 1 month.Diagnosis assessment:The PE showed bilateral crackles on chest auscultation and a palpable fluctuant mass over the anterior chest wall. The chest and abdominal CT scan showed multiple abscess formations involving pulmonary, sternal, and paraspinal areas. The TEE being performed and an oscillating mass over the anterior and septal leaflets of the tricuspid valve and moderate tricuspid regurgitation.Interventions:Only pharmacologic treatment without surgical interventions.Outcomes:Deceased, patient expired on day 4 after ED visit.Conclusion:This case arose as a sequela of staphylococcal endocarditis associated with persistent bacteremia and immunological dysregulation. The diagnosis of right-sided endocarditis is easily missing, multidisciplinary approach should be triggered as soon as possible, which might lead to a better outcome. Right-sided IE is still an important public health issue in southern Taiwan.

Original languageEnglish
Article numbere15961
JournalMedicine (United States)
Volume98
Issue number24
DOIs
Publication statusPublished - 2019 Jun 1

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Endocarditis
Abscess
Thorax
Gouty Arthritis
Auscultation
Tricuspid Valve Insufficiency
Adrenal Insufficiency
Tricuspid Valve
Respiratory Sounds
Thoracic Wall
Bacteremia
Low Back Pain
Hyperlipidemias
Taiwan
Dyspnea
Blood Vessels
Public Health
Lung
Skin
Therapeutics

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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title = "Case report: Right-sided native endocarditis presenting with multiple abscess formations [care compliant]",
abstract = "Introduction:Right-sided native endocarditis is a difficult case with fewer cardiac symptoms and fewer classic signs of cutaneous vascular lesions compared with left-sided endocarditis.Patient concerns:A 68-year-old Taiwanese man with a history of gouty arthritis, hyperlipidemia, and adrenal insufficiency presented to our ED and complained dyspnea and low back pain for 1 month.Diagnosis assessment:The PE showed bilateral crackles on chest auscultation and a palpable fluctuant mass over the anterior chest wall. The chest and abdominal CT scan showed multiple abscess formations involving pulmonary, sternal, and paraspinal areas. The TEE being performed and an oscillating mass over the anterior and septal leaflets of the tricuspid valve and moderate tricuspid regurgitation.Interventions:Only pharmacologic treatment without surgical interventions.Outcomes:Deceased, patient expired on day 4 after ED visit.Conclusion:This case arose as a sequela of staphylococcal endocarditis associated with persistent bacteremia and immunological dysregulation. The diagnosis of right-sided endocarditis is easily missing, multidisciplinary approach should be triggered as soon as possible, which might lead to a better outcome. Right-sided IE is still an important public health issue in southern Taiwan.",
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Case report : Right-sided native endocarditis presenting with multiple abscess formations [care compliant]. / Chan, Tsung-Yu; Hsieh, Chih Chia; Chen, Chien Liang; Huang, Yao-Yi; Chuang, Chia-Chang.

In: Medicine (United States), Vol. 98, No. 24, e15961, 01.06.2019.

Research output: Contribution to journalArticle

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AU - Huang, Yao-Yi

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