Naslov
A young female patient presenting with recurrent infective endocarditis secondary to intravenous drug abuse: a case report

Autori
Pavlovsky, Maja ; Kibel, Aleksandar ; Kovačević, Antonio ; Rezo, Šimun ; Paradinović, Lea ; Todić, Lucija ; Bačun, Tatjana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
OSCON Book of Abstract / - Osijek, 2022

ISBN
978-953-7736-56-9

Skup
4th International Translational Medicine Congress of Students and Young Physicians (OSCON 2022)

Mjesto i datum
Osijek, Hrvatska, 31.03.2022. - 02.04.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
endocarditis ; heart valves ; opioid-related disorders ; reinfection

Sažetak
Introduction: Infective Endocarditis (IE) is an inflammation of the endocardium caused by microbial pathogens. It is a known infectious complication among intravenous drug addicts, with a high recurrence rate. The aim of this case report is to describe the characteristics and treatment approach of recurrent IE. Case report: We present a 38-year-old female patient with a long history of intravenous drug abuse, diagnosed with opioid addiction and chronic hepatitis B. In 2015 she was hospitalized due to sepsis and pneumonia and diagnosed with IE with vegetations on the tricuspid valve (TV). The patient underwent TV repair surgery. She was re-hospitalized in 2017 and an aortic valve endocarditis was diagnosed. It was managed with antibiotics, and the vegetation resolved. In 2018, the patient was again diagnosed with IE and vegetations of the TV. She underwent TV replacement with a bioprosthesis. Her clinical course was complicated by development of third-degree AV block, with a consequent placement of a permanent epicardial pacemaker. During her last hospitalization in 2019 due to the development of side effects of linezolid, an examination was performed by a cardiac surgeon who recommended further cardiac monitoring after which the patient stopped coming for recommended follow up visits. Conclusion: This case illustrates the challenges of recurrent IE treatment. IE is associated with intravenous drug use, which has a high recurrence rate due to drug use relapse and reinfections. Patients often require long-term hospitalization, intravenous antimicrobial therapy and if needed, cardiac surgery.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA