Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement

Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement

This report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed S...

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Main Authors: Chloe Grace Meyer BS, Thomas Paul Vacek MD, Amit Bansal MD, Ravi Gurujal MD, Analkumar Parikh MD
Format: Article
Language:English
Published: SAGE Publishing 2018-02-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709618759128
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spelling doaj-fc2fde6888954fa585fa100d8735b2ee2020-11-25T02:59:01ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962018-02-01610.1177/2324709618759128Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve ReplacementChloe Grace Meyer BS0Thomas Paul Vacek MD1Amit Bansal MD2Ravi Gurujal MD3Analkumar Parikh MD4Wright State University, Dayton, OH, USAWright State University, Dayton, OH, USAWright State University, Dayton, OH, USAWright State University, Dayton, OH, USAWright State University, Dayton, OH, USAThis report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed Serratia marcescens pulmonic valve infective endocarditis that was treated with intravenous antibiotics. In addition to the rare form of endocarditis and bacterium involved, this case brings into awareness the dynamic nature of the hospital course that requires vigilance in responding to hypotensive episodes for consideration of pulmonary embolism. Surgical valve replacement was opted for due to such a complication in addition to the large size of the vegetation, 2.5 cm.https://doi.org/10.1177/2324709618759128
collection DOAJ
language English
format Article
sources DOAJ
author Chloe Grace Meyer BS
Thomas Paul Vacek MD
Amit Bansal MD
Ravi Gurujal MD
Analkumar Parikh MD
spellingShingle Chloe Grace Meyer BS
Thomas Paul Vacek MD
Amit Bansal MD
Ravi Gurujal MD
Analkumar Parikh MD
Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
Journal of Investigative Medicine High Impact Case Reports
author_facet Chloe Grace Meyer BS
Thomas Paul Vacek MD
Amit Bansal MD
Ravi Gurujal MD
Analkumar Parikh MD
author_sort Chloe Grace Meyer BS
title Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_short Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_full Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_fullStr Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_full_unstemmed Dynamic Course of Pulmonic Valve Endocarditis Resulting in Submassive PE and Valve Replacement
title_sort dynamic course of pulmonic valve endocarditis resulting in submassive pe and valve replacement
publisher SAGE Publishing
series Journal of Investigative Medicine High Impact Case Reports
issn 2324-7096
publishDate 2018-02-01
description This report illustrates a case of a 42-year-old male with a history of intravenous drug abuse who presented with septic shock. Diagnostic studies, including a transthoracic echocardiogram, chest computed tomography angiography, transesophageal echocardiogram, and blood cultures ultimately revealed Serratia marcescens pulmonic valve infective endocarditis that was treated with intravenous antibiotics. In addition to the rare form of endocarditis and bacterium involved, this case brings into awareness the dynamic nature of the hospital course that requires vigilance in responding to hypotensive episodes for consideration of pulmonary embolism. Surgical valve replacement was opted for due to such a complication in addition to the large size of the vegetation, 2.5 cm.
url https://doi.org/10.1177/2324709618759128
work_keys_str_mv AT chloegracemeyerbs dynamiccourseofpulmonicvalveendocarditisresultinginsubmassivepeandvalvereplacement
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AT amitbansalmd dynamiccourseofpulmonicvalveendocarditisresultinginsubmassivepeandvalvereplacement
AT ravigurujalmd dynamiccourseofpulmonicvalveendocarditisresultinginsubmassivepeandvalvereplacement
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