Successful treatment of an acute infective endocarditis secondary to fish bone penetrating into left atrium caused by Granulicatella adiacens and Candida albicans
| Autor: | Ting Ting Qu, Mei Fang Yang, Jia Xu, Nai Yun Chen, Ya Ling Tong |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Abdominal pain medicine.medical_specialty Physical examination fish bone 030204 cardiovascular system & hematology Risk Assessment 03 medical and health sciences Esophagus 0302 clinical medicine Foreign-Body Migration Candida albicans medicine Animals Humans Endocarditis Heart Atria Clinical Case Report 030212 general & internal medicine Cardiac Surgical Procedures Carnobacteriaceae acute infective endocarditis Fish bone medicine.diagnostic_test business.industry Granulicatella adiacens General Medicine foreign body medicine.disease Combined Modality Therapy esophageal perforation Abdominal Pain Anti-Bacterial Agents Surgery Treatment Outcome medicine.anatomical_structure Seafood Acute Endocarditis Infective endocarditis Female medicine.symptom Foreign body business Follow-Up Studies Research Article |
| Zdroj: | Medicine |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000009185 |
| Popis: | Rational: Infective endocarditis caused by a foreign body of the upper digestive tract is rare. We report a rare case of Granulicatella adiacens and Candida albicans coinfection acute endocarditis combined with systematic embolization caused by a fish bone from the esophagus penetrating into the left atrium. Patient concern: A 42-year-old woman was admitted to our hospital because of fever, abdominal pain, headache, and right limb weakness. Diagnoses: Clinical examination indicated endocarditis and systemic embolisms secondary to a fish bone from the esophagus penetrating into the left atrium. The emergency surgery confirmed the diagnosis. Cultures of blood and vegetation show G adiacens and C albicans. Interventions: Antimicrobial therapy lasted 6 weeks after surgery. Outcomes: The patient was discharged with excellent condition7 weeks after hospitalization and was well when followed 6 months later. Lessons: The successful treatment of this patient combines quick diagnosis, timely surgery, and effective antimicrobial regimen. This rare possibility should be kept up in mind in acute infective endocarditis cases. |
| Databáze: | OpenAIRE |
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