[71-year old patient with sepsis, pericardial effusion and pulmonary infiltrates].
A 71-year old man with sepsis, hemorrhagic pericardial effusion and pulmonary embolism was admitted on the intensive care unit. In blood cultures and in pericardial effusion, Staphylococcus aureus was isolated. Transeosophageal echocardiography showed a massive pulmonary valve endocarditis. Right-sided endocarditis is a rare variant of endocarditis and may occur in consequence of contaminated drug solutions or infected intravenous catheter. The prognosis is relatively good, worse prognosis show fungal infections and vegetation with a length >20 mm.
II. Medizinische Klinik, Krankenhaus Dresden-Friedrichstadt, Friedrichstraße 41, 01069, Dresden. michael.leopold2@freenet.de
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Leopold
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Schellong
D000368:Aged; D003937:Diagnosis, Differential; D004696:Endocarditis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D011655:Pulmonary Embolism / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D018805:Sepsis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
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