Bilateral multivalvular polymicrobial endocarditis in an intravenous drug user

Year 2018, Volume: 35 Issue: 3, 77 - 79, 31.10.2019

Özgül Uçar Elalmış , Ümit Güray , Mehmet İleri , Deniz Şahin

Abstract

A 30-year-old man with a history of
intravenous drug use presented to emergency room with fever, fatigue and
altered mental status. He was admitted to intensive care unit with the
diagnosis of sepsis, disseminated intravascular coagulation, multiple organ dysfunction
syndrome and acute respiratory distress syndrome. On transthoracic
echocardiography, there were big vegetations on both mitral and tricuspid
valves. Consecutive blood cultures grew Staphylococcus aureus and
Staphylococcus hominis.  The diagnosis
was bilateral, multi-valvular, polymicrobial infective endocarditis. The
patient had a fulminant course and died on the fourth day of admission.  

Keywords

Infective endocarditis, intravenous drug use, transthoracic echocardiography, sepsis

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