Human bite wounds as a portal of entry for infective endocarditis and purulent pericarditis: a very rare association

2021 ◽  
Vol 14 (4) ◽  
pp. e241264
Author(s):  
Miguel Oyonarte Gómez ◽  
Cesar Del Castillo Gordillo ◽  
Manuel Rojas Romero ◽  
Kenyin Loo Urbina
Keyword(s):  
Infective Endocarditis ◽  
Pericardial Effusion ◽  
Aortic Valve ◽  
Hospital Admissions ◽  
Emergency Department Visits ◽  
Purulent Pericarditis ◽  
Native Valve ◽  
Human Bite ◽  
Human Bites ◽  
Bite Wounds

Human bites are an infrequent cause of emergency department visits and hospital admissions. There are rarely published cases of complicated infection, such as infective endocarditis. We present a rare case of a patient with acute infective endocarditis in a healthy native valve and purulent pericarditis from a human bite. A 40-year-old man with obesity suffered deep human bites by an adult woman, with two deep lesions in the anterior thorax and one superficial lesion in the upper abdomen and admitted in intensive care unit with septic shock and a persistent aortic murmur. Echocardiography described evidence of vegetation, perforation and severe regurgitation of aortic valve. Scanner described moderate pericardial effusion. Cardiac surgery was performed, with evidence of purulent pericardial effusion after pericardiotomy, and subsequently aortic valve replacement with a 25 mm bioprosthesis. The patient showed positive progress.

scholarly journals Corynebacterium jeikeium native valve infective endocarditis case report: a confirmed microbiological and pathological diagnosis from heart valvular tissue

2020 ◽  
Author(s):  
Wentzel Bruce Dowling ◽  
Johan Koen
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Penicillin G ◽  
Peripheral Vascular ◽  
Native Valve ◽  
Valve Tissue ◽  
Case Summary ◽  
Duke Criteria ◽  
G Prior ◽  
Initial Blood

Abstract Background The Modified Duke criteria is an important structured schematic for the diagnosis of infective endocarditis (IE). Corynebacterium jeikeium is a rare cause of IE that is often resistant to standard IE anti-microbials. We present a case of C. jeikeium IE, fulfilling the Modified Duke pathological criteria. Case summary A 50-year-old male presented with left leg peripheral vascular disease with septic changes requiring amputation. Routine echocardiography post-amputation demonstrated severe aortic valve regurgitation with vegetations that required valve replacement. Two initial blood cultures from a single venepuncture showed Streptococcus mitis which was treated with penicillin G prior to surgery. Subsequent aortic valve tissue cultured C. jeikeium with suggestive IE histological valvular changes and was successfully treated on a prolonged course of vancomycin. Discussion This is the first C. jeikeium IE case diagnosed on heart valvular tissue culture and highlights the importance for the fulfilment of the Modified Duke criteria in diagnosing left-sided IE. Mixed infection IE is rare, and this case possibly represents an unmasking of resistant C. jeikeium IE following initial treatment of penicillin G.

scholarly journals Pericardial effusion in prosthetic and native valve infective endocarditis

2019 ◽  
Vol 71 (1) ◽  
pp. 80-84 ◽  
Author(s):  
Ghada S. Youssef ◽  
Marwa S. Mashaal ◽  
Dalia R. El Remisy ◽  
Khalid A. Sorour ◽  
Hussein H. Rizk
Keyword(s):  
Infective Endocarditis ◽  
Pericardial Effusion ◽  
Native Valve

scholarly journals Dressler’s like pericarditis with pericardial effusion is the presenting feature of infective endocarditis

2018 ◽  
Vol 15 (1) ◽  
pp. 43-44
Author(s):  
Biswajit Majumder ◽  
Sharmistha Chatterjee ◽  
Rakesh Sarkar ◽  
Pritam Kumar Chatterjee
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Renal Failure ◽  
Infective Endocarditis ◽  
Pericardial Effusion ◽  
Aortic Valve ◽  
Medical Therapy ◽  
Surgical Intervention ◽  
Autoimmune Reaction ◽  
Pericardial Involvement

Summary: Infective Endocarditis (IE) being primarily the disease of valves and endocardium may occasionally be complicated with pericardial involvement in the form of pericarditis and pericardial effusion (PE). Pericarditis may be observed incidentally at the time of diagnosing IE and rarely does it remain the presenting feature of IE .The pericardial effusion may be attributed to ruptured aortic abscess extending into the pericardial space, autoimmune reaction, renal failure, HIV and congestive heart failure (CHF). Here we are presenting a 42 year old male having IE with vegetation in both mitral and aortic valve along with large sterile pericardial effusion was treated successfully by the medical therapy alone with favorable outcome. IE presenting with large exudative pericardial effusion being treated without any surgical intervention with substantial resolution of effusion has not been reported so far in medical literature.Nepalese Heart Journal 2017;12(2): 43-44.

scholarly journals Bacteriology of human and animal bite wounds

1978 ◽  
Vol 8 (6) ◽  
pp. 667-672
Author(s):  
E J Goldstein ◽  
D M Citron ◽  
B Wield ◽  
U Blachman ◽  
V L Sutter ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Anaerobic Bacteria ◽  
Human Bite ◽  
Gram Negative ◽  
Bacteroides Species ◽  
Human Bites ◽  
Animal Bites ◽  
Bite Wounds

Seventy-three patients with bite wounds (16 patients with clenched-fist injuries, 18 with human bite wounds, and 39 with animal bites) were cultured aerobically and anaerobically. A total of 33 of 34 patients with human bites and clenched-fist injuries and 33 of 39 patients with animal bites had aerobic or facultative bacteria isolated from their wounds. A total of 224 strains of aerobic or facultative bacteria were isolated, the most frequent isolate being alpha-hemolytic streptococci (50 strains). Staphylococcus aureus was isolated from 18 wounds. Penicillin-resistant gram-negative rods were infrequently isolated (12 strains). Anaerobic bacteria were isolated in 18 of 34 human bite wounds and clenched-fist injuries and 16 of 39 animal bite wounds. A total of 88 anaerobic strains was isolated, the most common being various Bacteroides species (36 strains).

Risk Factors for Pericardial Effusion in Native Valve Infective Endocarditis and Its Influence on Outcome

2013 ◽  
Vol 112 (10) ◽  
pp. 1646-1651 ◽  
Author(s):  
Ander Regueiro ◽  
Carlos Falces ◽  
Carlos Cervera ◽  
Ana del Rio ◽  
Juan C. Paré ◽  
...  
Keyword(s):  
Risk Factors ◽  
Infective Endocarditis ◽  
Pericardial Effusion ◽  
Native Valve

scholarly journals Native Valve Endocarditis due toRalstonia pickettii: A Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-9
Author(s):  
Joseph Orme ◽  
Tomas Rivera-Bonilla ◽  
Akil Loli ◽  
Negin N. Blattman
Keyword(s):  
Case Report ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Literature Review ◽  
Heart Block ◽  
Complete Heart Block ◽  
Healthy Individuals ◽  
Native Valve ◽  
Native Valve Endocarditis ◽  
First Case

Ralstonia pickettiiis a rare pathogen and even more rare in healthy individuals. Here we report a case ofR. pickettiibacteremia leading to aortic valve abscess and complete heart block. To our knowledge this is the first case report ofRalstoniaspecies causing infective endocarditis with perivalvular abscess.

scholarly journals An aortic root abscess in a patient with a bicuspid aortic valve: a case report

2020 ◽  
Vol 4 (5) ◽  
pp. 1-6
Author(s):  
Elyse Balzan ◽  
Alexander Borg
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Complete Recovery ◽  
Operative Management ◽  
Native Valve ◽  
Night Sweats ◽  
Aortic Root Abscess ◽  
Long Course

Abstract Background Infective endocarditis is a serious infection associated with high mortality and severe complications, such as heart failure, uncontrolled infection, and embolic events. Certain populations, including individuals with a prosthetic valve and those with native valve disease, such as bicuspid aortic valve, are considered to be more at risk of developing infective endocarditis. Case summary A 51-year-old previously healthy male presented with a 2-week history of persistent fever, malaise, and night sweats despite taking a long course of oral antibiotics. Examination was unremarkable; however, blood tests showed elevated inflammatory markers. Three sets of blood cultures revealed coagulase-negative gram-positive cocci (later identified as Staphylococcus lugdunensis), and the patient was subsequently started on IV antibiotics. His echocardiography showed a bicuspid aortic valve with severe regurgitation, and an aortic root abscess surrounding a dilated aortic root. In view of the presence of locally uncontrolled infection, the patient was referred for urgent debridement of the abscess and replacement of the aortic valve with tissue prosthesis. Fortunately, after a total of 6 weeks of IV antibiotics and successful operative management, our patient made a complete recovery. Discussion The development of an aortic root abscess occurs in 10–40% of cases of aortic valve endocarditis. Clinically, this should be suspected in any patient with endocarditis who fails to improve despite appropriate antibiotic therapy. This case demonstrates that severe infective endocarditis can develop in apparently healthy individuals due to underlying cardiac abnormalities.

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