[Right-sided endocarditis due to Fusobacterium nucleatum].
We present 1 case of right sided endocarditis caused by Fusobacterium nucleatum in a patient with intravenous drug addiction and human immunodeficiency. The clinical features were fever, anemia, and pulmonary embolism. The echocardiogram showed a giant vegetation originated from the right atrial wall prolapsing in diastole into the right ventricle which disappeared after the patient presented pulmonary embolism. The clinical course was uncontrolled with empiric antimicrobial therapy but it was good with metronidazol. The cases previously described in the literature caused by gram-negative anaerobic bacteria are discussed and compared with the present case.
Gónzalez Cocina
E
E
Servicio de Cardiología, Hospital Clínico-Universitario Virgen de la Victoria, Málaga.
Espinosa Caliani
J S
JS
Cabrerizo Cómitre
E
E
Arana Romero
C
C
Pérez Peinado
M
M
González Santos
P
P
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005673:Fusobacterium / Q000302:isolation & purification; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D015819:Substance Abuse, Intravenous / Q000150:complications
D000900:Anti-Bacterial Agents
Endocarditis derecha por Fusobacterium nucleatum.