[Sepsis with staphylococcal vegetation on tricuspid valve. Differential diagnosis with Wegener's granulomatosis].
Acute, febrile disease in a young person with no previous medical history is most often caused by infection. If disease progresses despite antimicrobial treatment vascular and collagen diseases should be taken into account in differential diagnosis We present a case of a young man, with lung infiltrations and cavities in the course of febrile illness. He was referred to our hospital with a suspicion of Wegener's granulomatosis after few days of ineffective antimicrobial therapy. Positive blood culture for S. aureus and demonstration of tricuspid valve vegetation on echocardiographic examination enabled to make a final diagnosis of infective endocarditis with multiple lung abscessus.
Lotek
Łukasz
Ł
Kliniki Chorób Wewnetrznych Klatki Piersiowej, Instytutu Gruźlicy i Chorób Płuc w Warszawie.
Szturmowicz
Monika
M
Wiatr
Elzbieta
E
Kober
Jarosław
J
Wiechecka
Anna
A
Jezierska-Anczuków
Anna
A
Torbickia
Adam
A
Roszkowski-Sliz
Kazimierz
K
D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D014890:Granulomatosis with Polyangiitis / Q000175:diagnosis*; D006801:Humans; D008169:Lung Abscess / Q000382:microbiology*; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D011044:Poland; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis*; D013211:Staphylococcus aureus / Q000302:isolation & purification*; D013997:Time Factors; D014261:Tricuspid Valve / Q000382:microbiology*; D014262:Tricuspid Valve Insufficiency / Q000382:microbiology