[Staphylococcus aureus bacteremia and a mass in the right atrium in a patient carrying a central port].
A male heroin abuser was admitted because of Candida endophthalmitis. A permanent central venous line was inserted. Three months later, he had positive catheter and blood cultures with Staphylococcus aureus. Transthoracic and transesophageal echocardiography and magnetic resonance revealed a right atrial mass. Treatment with antibiotics in addition to clinical and echocardiographic follow up was decided upon. Six weeks later, a transesophageal echocardiography showed a decrease in right atrial mass size and the patient was discharged asymptomatic without treatment. Three months later, he was well and a new transesophageal echocardiography showed a further decrease in atrial mass size with signs of fibrosis. This follow up supports the clinical suspicion of thrombus in the right atrium attributable to a central venous line and Staphylococcus aureus bacteremia.
Pintor
E
E
Servicio de Medicina Interna III, Hospital Universitario San Carlos, Madrid.
Gómez
C
C
González
J
J
Fernández-Cruz
A
A
Almería
C
C
Zamorano
J
J
D000328:Adult; D016470:Bacteremia / Q000382:microbiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification; D015819:Substance Abuse, Intravenous / Q000150:complications; D014463:Ultrasonography
Bacteriemia por Staphylococcus aureus y masa en la aurícula derecha en un paciente portador de una vía central.