Massive Hemoptysis and Recurrent Infective Endocarditis in Intravenous Drug user: A Case Report✩
Autor: | Hashem Abdulkarim Alkhamis, Ziyad Abdulmohsen Altayyar, Yasser Elghoneimy, Khalid Mohsen Houbani, Mutlaq Almutairi, Abdulaziz Omar Alghamdi |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
business.industry Mortality rate medicine.medical_treatment Intravenous drug use Mycotic pulmonary artery aneurysms Case Report medicine.disease Surgery High morbidity Aneurysm Intravenous Drug User Infective endocarditis medicine.artery Pulmonary artery Medicine Embolization Cardiology and Cardiovascular Medicine business Complication |
Zdroj: | Journal of the Saudi Heart Association |
ISSN: | 2212-5043 1016-7315 |
Popis: | Intravenous drug use (IDU) poses a high risk of serious complications such as infective endocarditis (IE), which carries high morbidity and mortality rates. Mycotic pulmonary artery aneurysms (MPAA) are rarely associated with right-sided IE, especially in the setting of IDU. It is a potentially fatal complication as it can lead to severe hemorrhage if the aneurysm ruptures. We report the case of a young male with a history of current IDU and tricuspid valve replacement post complicated IE 2 years ago. The patient initially presented with massive hemoptysis and fever. Chest computed tomography (CT) showed a lobulated lesion in the right lower lobe with clear continuation to the pulmonary vessels. We aim to draw attention to the magnitude of complications of active IDU, including massive hemoptysis due to MPAA which should be promptly identified and emergently managed with embolization or surgery, followed by counseling and rehabilitation to minimize the risk of recurrence and save these patients. |
Databáze: | OpenAIRE |
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