Infective Endocarditis After a Splenectomy: A Complex Association.
| Autor: | Saleh J; Internal Medicine, University of California San Francisco, Fresno, USA., Georgiou S; Internal Medicine, University of California San Francisco, Fresno, USA., Samimi M; Internal Medicine, University of California San Francisco, Fresno, USA., Al-Bayati A; Cardiology, University of California San Francisco, Fresno, USA., Woodbury B; Cardiology/ Clinical Cardiac Electrophysiology, University of California San Francisco, Fresno, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Sep 10; Vol. 16 (9), pp. e69143. Date of Electronic Publication: 2024 Sep 10 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.69143 |
| Abstrakt: | Infective endocarditis is a potentially life-threatening condition that can have grave cardiac and neurologic complications. Recognizing risk factors, such as the presence of Gram-positive bacteremia and cardiac devices, has improved early recognition and management. The spleen plays an important role in the immune response, helping protect the body from infection from various bacteria. However, there is a paucity of literature regarding post-splenectomy patients with cardiac devices and the risk of endocarditis in this population. We present a case of infective endocarditis as a late sequela post-splenectomy in a 60-year-old patient with a history of a dual-chamber pacemaker. The patient was initially found to have bacteremia after splenectomy with repeat transesophageal echocardiogram confirming a tricuspid vegetation. The patient ultimately required pacemaker extraction and a prolonged course of intravenous cefazolin. The clinical course was complicated by a septic pulmonary embolus. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Saleh et al.) |
| Databáze: | MEDLINE |
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