title: Endocarditis after nipple piercing in a patient with a bicuspid aortic valve.
abstract: Piercing the skin for cosmetic reasons can be dangerous in young adults who have previously undergone surgery for congenital defects of the heart. We report the case of a 24-year-old man in whom coarctation of the aorta had been corrected 15 years earlier. Two months after piercing his left nipple without antibiotic prophylaxis, he developed a local mastitis, followed by bacterial endocarditits that required replacement of the aortic valve.
authors: Department of Cardiac Surgery, University of Ulm, Germany. christoph.ochsenfahrt@medizin.uni-ulm.de
authors: C
authors: C
authors: Ochsenfahrt
authors: R
authors: R
authors: Friedl
authors: A
authors: A
authors: Hannekum
authors: B A
authors: BA
authors: Schumacher
mesh_terms: D000328:Adult; D001017:Aortic Coarctation / Q000601:surgery*; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D009558:Nipples; D018570:Risk Assessment; D013203:Staphylococcal Infections / Q000209:etiology* / Q000601:surgery*; D013212:Staphylococcus epidermidis / Q000302:isolation & purification*; D016896:Treatment Outcome