A Multidisciplinary Approach to Staphylococcus aureus Triple-Valve Infective Endocarditis With Multi-Organ Involvement.

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL

Journal of investigative medicine high impact case reports Pub Date : 2024-01-01 DOI:10.1177/23247096241265917

Seena Mansouri, Zoheb Irshad Sulaiman, Andrew W Chao

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引用次数: 0

Abstract

Multivalvular endocarditis is a rare and potentially fatal complication that can occur in people who inject drugs. Currently, there are few cases that have been studied or reported in literature. A complication of this manifestation that worsens prognosis and treatment is the distribution of septic emboli throughout the body which highlights the dissemination of the infection. There are no specific guidelines on the treatment of multivalvular endocarditis, but its complexity can present challenges in administering medical and surgical treatment. In this case of a 37-year-old man with infective endocarditis of 3 valves, a comprehensive work-up found septic emboli in the lungs, kidneys, ribs, spine, and brain with ophthalmologic involvement that resulted in visual impairment. This case highlights important complications that can occur with septic emboli and management of these issues using a multidisciplinary approach including the treatment of substance use disorder.

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金黄色葡萄球菌三瓣感染性心内膜炎伴多器官受累的多学科治疗方法

多瓣心内膜炎是一种罕见且可能致命的并发症，可发生在注射吸毒者身上。目前，文献中研究或报道的病例很少。这种表现的一个并发症会恶化预后和治疗，那就是化脓性栓子遍布全身，突出了感染的传播。目前还没有治疗多瓣心内膜炎的具体指南，但其复杂性会给内外科治疗带来挑战。本例患者是一名 37 岁的男子，患有 3 个瓣膜的感染性心内膜炎，在全面检查中发现肺、肾、肋骨、脊柱和大脑存在脓性栓子，眼部受累导致视力受损。本病例强调了化脓性栓塞可能导致的重要并发症，以及采用多学科方法（包括药物使用障碍治疗）来处理这些问题。

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来源期刊

Journal of investigative medicine high impact case reports MEDICINE, GENERAL & INTERNAL-

CiteScore

1.90

自引率

0.00%

发文量

165

审稿时长

12 weeks

期刊介绍： The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.