Disappearing left atrial vegetation in an intravenous drug abuser

Isolated left atrial mural endocarditis is rare. We report a case where the diagnosis was made clinically and supported by blood cultures and transoesophageal echocardiography. Appropriate intravenous antibiotics were administered and serial transoesophageal echocardiograms helped in monitoring the...

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Bibliographic Details
Published in:European heart journal 1995-08, Vol.16 (8), p.1158-1160
Main Authors: JOSEPH, J, BRIGDEN, G, HANDLER, C. E
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Drug addictions
Echocardiography, Transesophageal
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - etiology
Female
Heart Atria - diagnostic imaging
Humans
Medical sciences
Streptococcal Infections - diagnostic imaging
Streptococcal Infections - etiology
Streptococcus pyogenes
Substance Abuse, Intravenous - complications
Toxicology
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Description
Summary:Isolated left atrial mural endocarditis is rare. We report a case where the diagnosis was made clinically and supported by blood cultures and transoesophageal echocardiography. Appropriate intravenous antibiotics were administered and serial transoesophageal echocardiograms helped in monitoring the decrease in size and final disappearance of the vegetation, thus avoiding the need for surgical intervention.
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a061066