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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Goel, Rohan Payne, Mark N. Sekar, Baskar |
| Description | Author Affiliation: Goel R ( Cardiff University, Cardiff, UK Ysbyty Gwynedd, Bangor, UK.); Sekar B ( Ysbyty Gwynedd, Bangor, UK.); Payne MN ( Ysbyty Gwynedd, Bangor, UK.) |
| Abstract | Infective endocarditis (IE) is a life-threatening condition with adverse consequences and increased mortality, despite improvements in treatment options. Diagnosed patients usually require a prolonged course of antibiotics, with up to 40-50% requiring surgery during initial hospital admission. We report a case of a 42-year-old intravenous drug user who presented feeling generally unwell, with lethargy, rigours, confusion and a painful swollen right leg. He was subsequently diagnosed with Proteus mirabilis endocarditis (fulfilling modified Duke criteria for possible IE) and deep vein thrombosis (DVT). He was successfully treated with single antibiotic therapy without needing surgical intervention or requiring anticoagulation for his DVT. Proteus endocarditis is extremely uncommon, with a limited number of case reports available in the literature. This case illustrates how blood cultures are invaluable in the diagnosis of IE, especially that due to unusual microorganisms. Our case also highlights how single antibiotic therapy can be effective in treating Proteus endocarditis. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Endocarditis, Bacterial Diagnosis Proteus Infections Proteus Mirabilis Substance Abuse, Intravenous Complications Adult Amoxicillin Therapeutic Use Anti-Bacterial Agents Diagnosis, Differential Drug Therapy Follow-Up Studies Heart Valve Prosthesis Microbiology Humans Male Prosthesis-Related Infections Treatment Outcome Venous Thrombosis Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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