Complex case of COVID-19 and infective endocarditis
| Autor: | Katrin Alizadeh, Sadia Khan, Danielle Bucke |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Staphylococcus aureus medicine.medical_specialty venous thromboembolism Bacteremia Case Report 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine law medicine Back pain Humans Endocarditis Blood culture 030212 general & internal medicine medicine.diagnostic_test SARS-CoV-2 business.industry COVID-19 Endocarditis Bacterial General Medicine Middle Aged Staphylococcal Infections medicine.disease Intensive care unit Thrombosis Surgery cardiovascular medicine Infective endocarditis Discitis medicine.symptom business |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2021-242205 |
| Popis: | A 50-year-old man with no medical history of note presented with new onset of confusion and dyspnoea. He tested positive for coronavirus (COVID-19), and subsequently, was admitted to the intensive care unit due to severe sepsis and acute renal failure requiring haemodialysis. Shortly afterwards, he was intubated due to haemodynamic instability. His blood culture was positive for Staphylococcus aureus bacteraemia, and echocardiogram showed evidence of vegetation in the aortic valve area. He was commenced on intravenous antibiotics for infective endocarditis (IE). Following extubation, he underwent an MRI of the spine due to increasing back pain. This was suggestive of L5–S1 discitis, likely secondary to septic emboli from IE. A few days later, he developed acute ischaemia of the left toes and extensive thrombosis of the right cubital and left iliac veins. Following a prolonged hospital admission, he was discharged home and later underwent an elective forefoot amputation from which he made a good recovery. |
| Databáze: | OpenAIRE |
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