Primary mural infective endocarditis with associated central line infection

Three weeks prior, a right-sided central venous access port was inserted for antibiotic administration for a recurrent urinary tract infection (UTI). Since the procedure, she had aching right-sided shoulder pain, lethargy, fever, chills, vomiting, weight loss, cough and sore throat. Mural infective...

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Bibliographic Details
Published in:BMJ case reports 2018-12, Vol.11 (1), p.e227504
Main Authors: Agrawal, Yashwant, Dada, Rachel, Dada, Jafar, Degregorio, Michelle
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
Antibiotics
Cardiac Surgical Procedures
Case reports
Catheter-Related Infections - complications
Catheter-Related Infections - diagnosis
Catheters
Central Venous Catheters
Echocardiography
Endocarditis
Endocarditis, Bacterial - complications
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - therapy
Endothelium
Female
Heart Atria - surgery
Humans
Images In
Middle Aged
Staphylococcal Infections - complications
Staphylococcal Infections - diagnosis
Staphylococcal Infections - diagnostic imaging
Staphylococcal Infections - therapy
Staphylococcus aureus
Staphylococcus infections
Surgery
Ultrasonic imaging
Urinary tract infections
Vegetation
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Summary:Three weeks prior, a right-sided central venous access port was inserted for antibiotic administration for a recurrent urinary tract infection (UTI). Since the procedure, she had aching right-sided shoulder pain, lethargy, fever, chills, vomiting, weight loss, cough and sore throat. Mural infective endocarditis (IE) occurs when growth of bacteria is present on cardiac walls while valvular endothelium is spared.1 Major risk factors for mural IE include diabetes mellitus, cardiovascular disease and malignancy.2 Only 19 case reports (20 cases in total) of primary mural IE have been published.2 The most common pathogen is S. aureus (60%). [...]high-resolution TEE imaging is the preferred diagnostic method.1 2 Expedient diagnosis is imperative so treatment may be initiated, as life-threatening complications, such as embolisation, may develop rapidly.2 Our case represents a rare instance of isolated mural IE associated with a central venous access port infection.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-227504