Infective endocarditis--a tale of two cases and the lessons (re)learned.
Infective endocarditis due to uncommon organisms or at uncommon sites presents a diagnostic challenge. Because signs and symptoms can be nonspecific and vary greatly, a high index of suspicion is necessary. We have recently treated two such cases, one due to HACEK organism (Eikenella corrodens) in a patient with established valvular heart disease and other of right sided endocarditis due to Pseudomonas aeruginosa. This report describes the diagnostic difficulties faced.
PD Hinduja National Hospital, Mumbai.
Aniruddha G
AG
Tembe
Priyanka
P
Kharbanda
Jamshed J
JJ
Dalal
Girish
G
Vaishnav
V R
VR
Joshi
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016124:Eikenella corrodens / Q000187:drug effects / Q000302:isolation & purification*; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D011550:Pseudomonas aeruginosa / Q000187:drug effects / Q000302:isolation & purification*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents