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

研究成果: Article同行評審

摘要

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.

原文English
文章編號e15961
期刊Medicine (United States)
98
發行號24
DOIs
出版狀態Published - 2019 六月 1

All Science Journal Classification (ASJC) codes

  • 醫藥 (全部)

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