[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.
Kliniki Chorób Wewnetrznych Klatki Piersiowej, Instytutu Gruźlicy i Chorób Płuc w Warszawie.
Łukasz
Ł
Lotek
Monika
M
Szturmowicz
Elzbieta
E
Wiatr
Jarosław
J
Kober
Anna
A
Wiechecka
Anna
A
Jezierska-Anczuków
Adam
A
Torbickia
Kazimierz
K
Roszkowski-Sliz
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