A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter

Background. Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bact...

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Published in:Case reports in critical care 2021-04, Vol.2021, p.1-4
Main Authors: Twito, Joshua, Sahra, Syeda, Jahangir, Abdullah, Mobarakai, Neville
Format: Article
Language:English
Subjects:
Antibiotics
Archives & records
Blood pressure
Cardiac arrhythmia
Case Report
Case reports
Catheters
Critical care
Drug abuse
Emergency medical care
Endocarditis
Erythema
Gram-positive bacteria
Hospitals
Hypotension
Molecular weight
Oxygen saturation
Pain
Patients
Pneumonia
Pulmonary embolisms
Staphylococcus infections
Thrombosis
Ultrasonic imaging
Veins & arteries
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description Background. Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. The patient responded well to appropriate antibiotics and anticoagulation. Conclusion. Peripherally inserted catheters are an important portal for pathogen entry and need periodic site assessment and frequent evaluation of their need for insertion. Septic pulmonary emboli can also be seen without any evidence of right-sided infective endocarditis.
doi_str_mv 10.1155/2021/5544505
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Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. The patient responded well to appropriate antibiotics and anticoagulation. Conclusion. Peripherally inserted catheters are an important portal for pathogen entry and need periodic site assessment and frequent evaluation of their need for insertion. Septic pulmonary emboli can also be seen without any evidence of right-sided infective endocarditis.</description><identifier>ISSN: 2090-6420</identifier><identifier>EISSN: 2090-6439</identifier><identifier>DOI: 10.1155/2021/5544505</identifier><identifier>PMID: 33898068</identifier><language>eng</language><publisher>New York: Hindawi</publisher><subject>Antibiotics ; Archives &amp; records ; Blood pressure ; Cardiac arrhythmia ; Case Report ; Case reports ; Catheters ; Critical care ; Drug abuse ; Emergency medical care ; Endocarditis ; Erythema ; Gram-positive bacteria ; Hospitals ; Hypotension ; Molecular weight ; Oxygen saturation ; Pain ; Patients ; Pneumonia ; Pulmonary embolisms ; Staphylococcus infections ; Thrombosis ; Ultrasonic imaging ; Veins &amp; arteries</subject><ispartof>Case reports in critical care, 2021-04, Vol.2021, p.1-4</ispartof><rights>Copyright © 2021 Joshua Twito et al.</rights><rights>Copyright © 2021 Joshua Twito et al. 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Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. 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Central venous catheters (CVCs) have been frequently associated with septic thrombophlebitis, bacteremia, and septic emboli. Right-sided infective endocarditis is seen concurrently in patients with septic pulmonary emboli. A case of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and septic pulmonary emboli secondary to infected peripheral venous catheter (PVC) is reported. Transesophageal echocardiogram (TEE) showed no evidence of infective endocarditis. Case Presentation. A 44-year-old female presented to E.R. with left upper extremity pain and swelling at the previously inserted peripheral 18-gauge intravenous catheter site. She also had chest pain, which worsened with inspiration. The patient was found to be in septic shock. Her clinical condition deteriorated acutely. Right upper extremity deep venous thrombosis (DVT) and pulmonary emboli were seen on imaging. Blood cultures grew MRSA. Transthoracic and transesophageal echocardiograms showed no vegetations. 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source Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content Database; PubMed
subjects Antibiotics
Archives & records
Blood pressure
Cardiac arrhythmia
Case Report
Case reports
Catheters
Critical care
Drug abuse
Emergency medical care
Endocarditis
Erythema
Gram-positive bacteria
Hospitals
Hypotension
Molecular weight
Oxygen saturation
Pain
Patients
Pneumonia
Pulmonary embolisms
Staphylococcus infections
Thrombosis
Ultrasonic imaging
Veins & arteries
title A Curious Case of MRSA Bacteremia and Septic Pulmonary Embolism Secondary to Peripheral Venous Catheter
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