title: Defibrillator-Induced Tricuspid Abscess Presenting as Diabetic Ketoacidosis and Wound Ulceration.
abstract: Right-sided endocarditis is predominantly seen in patients with a history of intravenous drug abuse. However, it is well shown in the literature to be associated with patients containing foreign bodies such as pacemakers, central venous lines, and in those with congenital heart disease. In patients with pacemaker leads and in those with automatic implantable cardioverter defibrillators (AICDs), it is important to suspect foreign body infection when there are signs and indications of bacteremia. When these leads become infected, they can spread the infection to the tricuspid valve resulting in vegetations. The proper management is removal of the infected lead and foreign body along with a prolonged course of antibiotics. However, it is unusual and a relatively rare entity to see foreign body infection resulting from a wound ulcer resulting in not only endocarditis but also abscess formation on the tricuspid valve. Here we report a case of a 60-year-old male with recent AICD placement presenting as diabetic ketoacidosis due to tricuspid abscess formation as a result of a foot ulcer.
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave., Perth Amboy, NJ 07733, USA.
authors.forename: Rafay
authors.initials: R
authors.lastname: Khan
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave., Perth Amboy, NJ 07733, USA.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Arshed
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave., Perth Amboy, NJ 07733, USA.
authors.forename: Amar
authors.initials: A
authors.lastname: Ahmed
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave., Perth Amboy, NJ 07733, USA.
authors.forename: Shuvendu
authors.initials: S
authors.lastname: Sen
authors.affiliation: Department of Internal Medicine, Raritan Bay Medical Center, 530 New Brunswick Ave., Perth Amboy, NJ 07733, USA.
authors.forename: Abdalla
authors.initials: A
authors.lastname: Yousif
keywords: Abscess; Endocarditis; Foreign body