title: Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user.
abstract: The unusual case of a 31-year-old woman who developed tricuspid valve endocarditis with positive blood cultures for Escherichia coli is presented. The patient had no underlying cardiac disease or predisposing conditions that could have made her susceptible to the native valve infection. Despite a lengthy course of intravenous antibiotics only a partial response was achieved. The patient underwent cardiac surgery and had a good postoperative recovery.
authors: Taunton & Somerset NHS Trust, Taunton, UK.
authors: Jo-Ai
authors: JA
authors: Foley
authors: Daniel
authors: D
authors: Augustine
authors: Richard
authors: R
authors: Bond
authors: Kate
authors: K
authors: Boyce
authors: David
authors: D
authors: Maciver
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D017548:Echocardiography, Transesophageal / Q000379:methods; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D007262:Infusions, Intravenous; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery*
chemical_list: D000900:Anti-Bacterial Agents