Medical image of the week: tricuspid valve vegetation with septic pulmonary emboli

Southwest Journal of Pulmonary and Critical Care

Harris S¹  Goldlist K¹  Hypes C¹  Tumanik M¹ 

[1] University of Arizona, Tucson, AZ USA;

关键词: endocarditis;    bacterial endocarditis;    infective endocarditis;    echocardiogram;    ultrasound;    septic pulmonary emboli;    chest x-ray;    treatment;    symptoms;    Staphylococcus;   

DOI  :  10.13175/swjpcc042-16

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. A 28-year-old woman with a history of extensive intravenous heroin use presented to the hospital with generalized chest and abdominal pain. Vital signs were remarkable for hypotension, tachypnea, and tachycardia. Laboratory studies revealed leukocytosis, hyponatremia, acute kidney injury, and lactic acidosis. A radiograph of the chest demonstrated multiple airspace opacities throughout the bilateral lungs with associated cavitary lesions and a small right-sided pleural effusion (Figure 1). A transthoracic echocardiogram was obtained, which demonstrated a 3.6 cm x 2.0 cm tricuspid valve vegetation (Figure 2). Blood cultures identified methicillin-sensitive Staphylococcus aureus. Infective endocarditis, valvular vegetation, and septic pulmonary emboli are common complications of intravenous drug use. Staphylococcus aureus is the most common bacterial cause of infective endocarditis among intravenous drug users (1). Like endocarditis, patients with septic pulmonary emboli often present with non-specific clinical manifestations such as fever (86%), dyspnea (48%), and chest pain (49%) (2). Management may be surgical or ...

【 授权许可】

Unknown