Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis

Isolated native pulmonic valve infective endocarditis (IE) is a rare occurrence. The most commonly involved valves in injection drug users are the tricuspid valve followed by mitral and then aortic valves. Most reported cases of methicillin-resistant Staphylococcus aureus (MRSA) IE involve multiple...

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Main Authors: Daniela Navarrete, David Hannibal, Sachin M. Patil, Tarang Pankaj Patel, William Roland
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2020/8850340
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author Daniela Navarrete
David Hannibal
Sachin M. Patil
Tarang Pankaj Patel
William Roland
author_facet Daniela Navarrete
David Hannibal
Sachin M. Patil
Tarang Pankaj Patel
William Roland
author_sort Daniela Navarrete
collection DOAJ
description Isolated native pulmonic valve infective endocarditis (IE) is a rare occurrence. The most commonly involved valves in injection drug users are the tricuspid valve followed by mitral and then aortic valves. Most reported cases of methicillin-resistant Staphylococcus aureus (MRSA) IE involve multiple valves. Isolated involvement of the pulmonic valve in IE is infrequent, especially in intravenous drug users or patients with indwelling catheters, prosthetic valves, or implantable cardiac devices. Here, we report a young postpartum female patient with isolated native pulmonic valve MRSA IE with MRSA bacteremia and history of active injection drug use. A PubMed literature review revealed a single described prior case report in a postpartum female. The patient’s clinical course was complicated by a large native pulmonic valve vegetation, septic pulmonary emboli, pelvic abscess, polyarticular septic arthritis, and clavicular osteomyelitis. The patient underwent bioprosthetic pulmonic valve replacement and finished six weeks of intravenous vancomycin for complete recovery.
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spelling doaj-art-e25e695a580448ceb58479b2049e6f232025-02-03T01:28:30ZengWileyCase Reports in Infectious Diseases2090-66252090-66332020-01-01202010.1155/2020/88503408850340Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic ArthritisDaniela Navarrete0David Hannibal1Sachin M. Patil2Tarang Pankaj Patel3William Roland4Department of Medicine and Pediatrics, PGY4 Resident, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USAUniversity of Missouri School of Medicine, MS 4, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Pulmonary, Critical Care and Environmental Medicine, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USADepartment of Medicine, Division of Infectious Disease, University of Missouri Hospital and Clinic, 1 Hospital Dr, Columbia, MO 65212, USAIsolated native pulmonic valve infective endocarditis (IE) is a rare occurrence. The most commonly involved valves in injection drug users are the tricuspid valve followed by mitral and then aortic valves. Most reported cases of methicillin-resistant Staphylococcus aureus (MRSA) IE involve multiple valves. Isolated involvement of the pulmonic valve in IE is infrequent, especially in intravenous drug users or patients with indwelling catheters, prosthetic valves, or implantable cardiac devices. Here, we report a young postpartum female patient with isolated native pulmonic valve MRSA IE with MRSA bacteremia and history of active injection drug use. A PubMed literature review revealed a single described prior case report in a postpartum female. The patient’s clinical course was complicated by a large native pulmonic valve vegetation, septic pulmonary emboli, pelvic abscess, polyarticular septic arthritis, and clavicular osteomyelitis. The patient underwent bioprosthetic pulmonic valve replacement and finished six weeks of intravenous vancomycin for complete recovery.http://dx.doi.org/10.1155/2020/8850340
spellingShingle Daniela Navarrete
David Hannibal
Sachin M. Patil
Tarang Pankaj Patel
William Roland
Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
Case Reports in Infectious Diseases
title Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
title_full Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
title_fullStr Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
title_full_unstemmed Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
title_short Postpartum-Isolated Native Pulmonic Valve Methicillin-Resistant Staphylococcus aureus Infective Endocarditis Complicated by Pelvic Abscess, Clavicle Osteomyelitis, and Polyarticular Septic Arthritis
title_sort postpartum isolated native pulmonic valve methicillin resistant staphylococcus aureus infective endocarditis complicated by pelvic abscess clavicle osteomyelitis and polyarticular septic arthritis
url http://dx.doi.org/10.1155/2020/8850340
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