Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery

Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery

We report the case of a 22-year old male, a self-confessed recreational drug user who developed cardiogenic shock because of severe destruction of the aortic valve by rapidly progressive aortic valve endocarditis. The disease progression was acute; in a matter of days, the clinical manifestations we...

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Bibliographic Details
Main Authors: Malkia S. Swedi, Radek Pudil, Jiří Manďák
Format: Article
Language:English
Published: Karolinum Press 2012-01-01
Series:Acta Medica
Subjects:
Infective endocarditis
Aortic valve
Drug user
Replacement surgery
Online Access:https://actamedica.lfhk.cuni.cz/55/2/0107/
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spelling doaj-88e3acae8de3402f87ca80e9386e3c262020-11-24T22:56:17ZengKarolinum PressActa Medica1211-42861805-96942012-01-0155210711010.14712/18059694.2015.66Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and SurgeryMalkia S. Swedi0Radek Pudil1Jiří Manďák2University Hospital and Charles University in Prague, Faculty of Medicine in Hradec Králové, Czech Republic: First Department of Internal Medicine – CardioangiologyUniversity Hospital and Charles University in Prague, Faculty of Medicine in Hradec Králové, Czech Republic: First Department of Internal Medicine – CardioangiologyUniversity Hospital and Charles University in Prague, Faculty of Medicine in Hradec Králové, Czech Republic: Department of Cardiac SurgeryWe report the case of a 22-year old male, a self-confessed recreational drug user who developed cardiogenic shock because of severe destruction of the aortic valve by rapidly progressive aortic valve endocarditis. The disease progression was acute; in a matter of days, the clinical manifestations were life-threatening necessitating urgent aortic valve replacement surgery. Cultivation revealed Streptococcus viridans as the microbial agent. Subsequent recovery with antibiotic treatment was without complication. This case report shows that immediately performed transoesophageal echocardiography and early consultation with a cardiac surgeon has fundamental importance in diagnosis and management of acute infective endocarditis in haemodynamically instable patients.https://actamedica.lfhk.cuni.cz/55/2/0107/Infective endocarditisAortic valveDrug userReplacement surgery
collection DOAJ
language English
format Article
sources DOAJ
author Malkia S. Swedi
Radek Pudil
Jiří Manďák
spellingShingle Malkia S. Swedi
Radek Pudil
Jiří Manďák
Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
Acta Medica
Infective endocarditis
Aortic valve
Drug user
Replacement surgery
author_facet Malkia S. Swedi
Radek Pudil
Jiří Manďák
author_sort Malkia S. Swedi
title Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
title_short Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
title_full Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
title_fullStr Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
title_full_unstemmed Rapidly Progrediating Aortic Valve Infective Endocarditis in an Intravenous Drug User Treated by Antibiotics and Surgery
title_sort rapidly progrediating aortic valve infective endocarditis in an intravenous drug user treated by antibiotics and surgery
publisher Karolinum Press
series Acta Medica
issn 1211-4286
1805-9694
publishDate 2012-01-01
description We report the case of a 22-year old male, a self-confessed recreational drug user who developed cardiogenic shock because of severe destruction of the aortic valve by rapidly progressive aortic valve endocarditis. The disease progression was acute; in a matter of days, the clinical manifestations were life-threatening necessitating urgent aortic valve replacement surgery. Cultivation revealed Streptococcus viridans as the microbial agent. Subsequent recovery with antibiotic treatment was without complication. This case report shows that immediately performed transoesophageal echocardiography and early consultation with a cardiac surgeon has fundamental importance in diagnosis and management of acute infective endocarditis in haemodynamically instable patients.
topic Infective endocarditis
Aortic valve
Drug user
Replacement surgery
url https://actamedica.lfhk.cuni.cz/55/2/0107/
work_keys_str_mv AT malkiasswedi rapidlyprogrediatingaorticvalveinfectiveendocarditisinanintravenousdrugusertreatedbyantibioticsandsurgery
AT radekpudil rapidlyprogrediatingaorticvalveinfectiveendocarditisinanintravenousdrugusertreatedbyantibioticsandsurgery
AT jirimandak rapidlyprogrediatingaorticvalveinfectiveendocarditisinanintravenousdrugusertreatedbyantibioticsandsurgery
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