title: Swan-Ganz catheter-related pulmonary valve infective endocarditis: a case report.
abstract: We report the case of a 29-year-old man with decompensated alcoholic cardiomyopathy who developed a Staphylococcal pulmonic valve infective endocarditis during hemodynamic monitoring, as a consequence of catheter-related bacteremia. As experimentally demonstrated, the damaging role of the pulmonary artery catheter on the endocardial surface plays a major role in the pathogenesis of related right-sided infective endocarditis. Occurrence of bacteremia in a catheterized patient should be considered as a high risk situation, and righ-heart infective endocarditis must be suspected whenever patient presents fever or bacteremia without obvious site of infection. Doppler echocardiography is the reference diagnosis procedure.
authors.affiliation: Service de Réanimation Médicale, Hôpital de l'Archet, Nice, France.
authors.forename: G
authors.initials: G
authors.lastname: Bernardin
authors.forename: D
authors.initials: D
authors.lastname: Milhaud
authors.forename: P M
authors.initials: PM
authors.lastname: Roger
authors.forename: G
authors.initials: G
authors.lastname: Pouliquen
authors.forename: P
authors.initials: P
authors.lastname: Corcelle
authors.forename: M
authors.initials: M
authors.lastname: Mattei
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000150:complications*; D016470:Bacteremia / Q000209:etiology*; D006328:Cardiac Catheterization; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis* / Q000209:etiology; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D006333:Heart Failure / Q000175:diagnosis* / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011664:Pulmonary Valve; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology