Infective endocarditis at the tricuspid valve following central venous catheterization.
We report a case of infective endocarditis at the tricuspid valve attributed to central venous catheterization. The patient was a 35-year-old woman who had multiple septic emboli in her lung due to tricuspid valve endocarditis after successful treatment of bronchiolitis obliterans organizing pneumonia. She also had right ileosacral arthritis. The case was closely related to catheter-associated Staphylococcus aureus bacteremia. She was treated with intravenous administration of vancomycin and surgical removal of vegetation and tricuspid valvuloplasty. Since infective endocarditis can be a complication of central venous catheterization with high morbidity and mortality, maximal precautions to minimize the risk, early detection, and appropriate treatment of these complications are mandatory to improve patients' outcome.
Yamashita
Shu-ichi
S
Division of Emergency Medicine, Municipal and County Hospital of Miyazaki Medical Association, 738-1 Funato, Shinbeppu-cho, Miyazaki, 880-0834, Japan.
Noma
Kenji
K
Kuwata
Go
G
Miyoshi
Kahori
K
Honaga
Kaoru
K
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000209:etiology / Q000382:microbiology*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000378:metabolism*; D013203:Staphylococcal Infections / Q000209:etiology / Q000382:microbiology*; D014057:Tomography, X-Ray Computed; D014261:Tricuspid Valve / Q000382:microbiology*; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014640:Vancomycin