Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature

Background. Isolated tricuspid valve endocarditis in the absence of risk factors in the community setting is very rare and can be easily missed in patients with hitherto normal valves. Case Presentation. We present a case of a 49 year old gentleman who presented with generalized body aches, fever, a...

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Main Authors: Musa A. Garbati, Imad M. Tleyjeh, Abdullah A. Abba
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2011/981316
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author Musa A. Garbati
Imad M. Tleyjeh
Abdullah A. Abba
author_facet Musa A. Garbati
Imad M. Tleyjeh
Abdullah A. Abba
author_sort Musa A. Garbati
collection DOAJ
description Background. Isolated tricuspid valve endocarditis in the absence of risk factors in the community setting is very rare and can be easily missed in patients with hitherto normal valves. Case Presentation. We present a case of a 49 year old gentleman who presented with generalized body aches, fever, and jaundice and was initial diagnosed as hepatitis. He subsequently developed recurrent episodes of panic attacks and shortness of breath and later multiple skin abscesses. Further investigations excluded pulmonary embolism but revealed multiple abscesses in the body including the lungs. Blood cultures and culture from abscesses grew S. aureus. An initial transthoracic echocardiogram was normal. A transesophageal echocardiogram subsequently confirmed endocarditis on a normal natural tricuspid valve and multiple lung abscesses. He was successfully treated with appropriate antibiotics. Conclusion. We discuss the pathogenesis of this patient's presentation highlight the need for assessment and proper evaluation of patients with unexplained bacteremia.
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institution Kabale University
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spelling doaj-art-1f95d8cceacd458c85acb940cd2005ca2025-02-03T05:52:14ZengWileyCase Reports in Infectious Diseases2090-66252090-66332011-01-01201110.1155/2011/981316981316Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of LiteratureMusa A. Garbati0Imad M. Tleyjeh1Abdullah A. Abba2Division of Infectious Diseases, Department of Medicine, King Fahad Medical City, Riyadh 11525, Saudi ArabiaDivision of Infectious Diseases, Department of Medicine, King Fahad Medical City, Riyadh 11525, Saudi ArabiaDivision of Pulmonology, Department of Medicine, Ahmadu Bello University, Zaria, NigeriaBackground. Isolated tricuspid valve endocarditis in the absence of risk factors in the community setting is very rare and can be easily missed in patients with hitherto normal valves. Case Presentation. We present a case of a 49 year old gentleman who presented with generalized body aches, fever, and jaundice and was initial diagnosed as hepatitis. He subsequently developed recurrent episodes of panic attacks and shortness of breath and later multiple skin abscesses. Further investigations excluded pulmonary embolism but revealed multiple abscesses in the body including the lungs. Blood cultures and culture from abscesses grew S. aureus. An initial transthoracic echocardiogram was normal. A transesophageal echocardiogram subsequently confirmed endocarditis on a normal natural tricuspid valve and multiple lung abscesses. He was successfully treated with appropriate antibiotics. Conclusion. We discuss the pathogenesis of this patient's presentation highlight the need for assessment and proper evaluation of patients with unexplained bacteremia.http://dx.doi.org/10.1155/2011/981316
spellingShingle Musa A. Garbati
Imad M. Tleyjeh
Abdullah A. Abba
Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
Case Reports in Infectious Diseases
title Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
title_full Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
title_fullStr Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
title_full_unstemmed Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
title_short Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature
title_sort complicated community acquired staphylococcus endocarditis and multiple lung abscesses case report and review of literature
url http://dx.doi.org/10.1155/2011/981316
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