Beware of Drug Interactions Treating Iatrogenic Mycobacterium bovis Endocarditis from Intravesical BCG Instillation.
| Autor: | Curri F; Department of Experimental and Clinical Medical Sciences, Clinica Medica, University Hospital, University of Udine, Udine, Italy., Da Porto A; Department of Experimental and Clinical Medical Sciences, Clinica Medica, University Hospital, University of Udine, Udine, Italy., Casarsa V; Department of Experimental and Clinical Medical Sciences, Clinica Medica, University Hospital, University of Udine, Udine, Italy., Albini D; Department of Experimental and Clinical Medical Sciences, Clinica Medica, University Hospital, University of Udine, Udine, Italy., Minen G; Department of Cardiac Sciences, Cardiology, University Hospital, University of Udine, Udine, Italy., Sechi LA; Department of Experimental and Clinical Medical Sciences, Clinica Medica, University Hospital, University of Udine, Udine, Italy. |
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| Jazyk: | angličtina |
| Zdroj: | European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2021 Feb 01; Vol. 8 (3), pp. 002263. Date of Electronic Publication: 2021 Feb 01 (Print Publication: 2021). |
| DOI: | 10.12890/2021_002263 |
| Abstrakt: | We report a case of mechanical mitral valve endocarditis associated with miliary disseminated bacillus Calmette-Guerin (BCG) infection following intravesical instillations for minimally invasive bladder cancer in a 65-year-old man. The diagnosis was established by echocardiographic evidence of vegetation on the prosthetic mitral valve, miliary lesions in the lungs and evidence of bloodstream infection sustained by Mycobacterium . We successfully treated the patient with the classical regimen of quadruple antituberculous therapy. Learning Points: To consider endocarditis as an extra-pulmonary manifestation of Mycobacterium bovis infection, especially in the presence of predisposing heart conditions and risk factors.To be careful of drug interactions among warfarin, rifampin and amiodarone. Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests. (© EFIM 2021.) |
| Databáze: | MEDLINE |
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