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Articles Related to endocarditis

Tricuspid Valvulectomy in Drug Addicts with Native Valve Endocarditis: A Case Series

From Jan –2004 to Dec-2004, five patients were referred to the surgical department with a diagnosis of endocarditis refractory to medical therapy. Patients were all male, age ranging 16 years to 28 years with a mean of 22 years. All of the five patients had native valve endocarditis of the tricuspid valve with a history of drug addiction in common. Their presentations included, sepsis, failure and recurrent pulmonary embolism. Three of them had bacterial, while two had fungal infection which was proven after blood cultures. After resuscitation, stabilization and preoperative workup, tricuspid valvectomy was performed on these patients because of the destructive and irreparable nature of the native valve. Fortunately, all had uneventful recovery after surgery. Pre-operatively these patients were treated with antibiotics and antifungals, and continued thereafter for almost 4 to 6 weeks in the post-operative period. Postoperatively there was significant tricuspid regurgitation in a subset of patients who had a follow-up. The Left Ventricular (LV) function remained normal to moderate with a moderate pulmonary artery pressure. These patients were discharged on antibiotics and anti-failure medications as per the GDMT.
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Infective Endocarditis at Tricuspid Valve in CHD: What are its Characteristics? What is the Pathophysiology?

Infective endocarditis (IE) is a serious infectious disease that carries a high mortality rate. We report the case of 74-year-old female who is a chronic hemodialysis patient, and was presented with tricuspid valve endocarditis (TVIE) with central venous catheter, due to an Enterobacter Cloacae, which is a non-HACEK Gram-negative bacilli (GNB) and has been reported to be an extremely rare pathogen of IE. The patient was treated with imipenem and teicoplanin for a four-week period, with negative Blood culture and normal C reactive protein (CRP) levels at the end. The aim of our study is to understand the pathophysiology of the IE in chronic renal failure (CRF) especially at the tricuspid valve (TV), and to determine the clinical, biological characteristics and therapeutic modalities.
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Intramural Abscesses: A Sequela of Infective Endocarditis in a Patient with HIV

Infective Endocarditis (IE) is associated with significant morbidity and mortality, with in-hospital mortality having been reported as ranging from 19-26%. Commonly documented complications of IE include valvular and chordae destruction and resultant regurgitations, embolic events, peri-valvular abscesses, fistulae, and congestive heart failure.
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Septic Shock Secondary to Salmonella Enterica Ssp. Arizonae in an Immunocompetent Albanian Male

Salmonella-associated diarrhea is a common cause of community-acquired gastroenteritis. Some species of salmonella are associated with invasive diseases like meningitis, endocarditis and septicemia.
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Disseminated Cutaneous Mycobacterium Chelonae Infection in a 9.5-Year-Old Girl with Diabetes

Mycobacterium chelonae is a fast growing mycobacteria that mainly causes localized cutaneous infections. Disseminated cutaneous infections are quite exclusively seen in immunosuppressed individuals. We present a case of disseminated cutaneous infection in a young diabetic patient.
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Sarcoidosis - A Case of “Resistant Tuberculosis”

Sarcoidosis is a multisystem granulomatous disease of unknown aetiology. It usually has a benign course, but those cases with multi system involvement have poorer prognosis. Sarcoidosis is an under diagnosed disease in India, probably due to the close resemblance to tuberculosis and the lack of awareness. But this disease is not so rare in India, as previously thought.
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Pulmonic Valve Endocarditis Complicating Streptococcus pneumoniae Community- Acquired Pneumonia

Infective endocarditis is most often seen affecting the left side of the heart, with the pulmonary valve being the least frequently involved valve. The most common organisms responsible for infective endocarditis are Staphylococcus aureus and Streptococcus viridans. Here we report a rare case of pulmonary valve endocarditis due to Streptococcus pneumoniae, a rare pathogen for this setting. The clinical features, presentation, and review of the literature are discussed.
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Thrombotic Microangiopathy Associated with Intravenous Injection Of Opana Er®: University Medical Center Case Series.

In response to the rapidly rising intravenous opioid abuse epidemic, the United States Food and Drug Administration is currently promoting the development of prescription opioid tablets that are specifically formulated to deter abuse. Opana ER® (Endo Pharmaceuticals) recently underwent reformulation to include a crush-resistant coating. Only recently described, illicit intravenous injection of reformulated Opana ER® is associated with a distinctive clinical syndrome of thrombotic microangiopathy.
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