title: Gallbladder infarction complicating infective endocarditis.
abstract: Infective endocarditis with systemic embolization of the gallbladder vasculature is very rare. We describe a case of subacute infective endocarditis in an adult complicated by embolization of the right hepatic artery with subsequent gallbladder infarction. In these cases, appropriate antibiotic therapy should be given before and after cholecystectomy. Gallbladder resection should be performed before valve replacement to decrease the potential seeding of a prosthetic valve.
authors.affiliation: Department of Medicine, and the Division of Infectious Diseases, College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. dib.chadi@mayo.edu
authors.forename: Chadi
authors.initials: C
authors.lastname: Dib
authors.forename: Larry M
authors.initials: LM
authors.lastname: Baddour
mesh_terms: D000328:Adult; D002763:Cholecystectomy; D004617:Embolism / Q000209:etiology; D004698:Endocarditis, Subacute Bacterial / Q000150:complications* / Q000601:surgery; D005704:Gallbladder / Q000098:blood supply* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006499:Hepatic Artery; D006801:Humans; D007238:Infarction / Q000209:etiology* / Q000601:surgery; D008297:Male; D013997:Time Factors