Document Detail

Diagnosis of E. coli tricuspid valve endocarditis: a case report.
MedLine Citation:
PMID:  21225584     Owner:  NLM     Status:  MEDLINE    
Escherichia coli is a rare cause of bacterial endocarditis. We report a case of an elderly man with cirrhosis who developed bacterial endocarditis due to E.coli. We review the literature that summarizes a total of 41 cases, with a predominance of elderly women, diabetics, and patients with urinary tract infections and prosthetic heart valves. E.coli bacteremia may be mistakenly attributed to a more benign source such as urosepsis and overlooked as an indication of endocarditis. A delay in diagnosis may lead to higher mortality as the opportunity for early valve replacement in appropriate cases and more prolonged courses of antibiotics may not be considered.
Takahiko Tsutsumi; Eiji Hiraoka; Kenji Kanazawa; Hozuka Akita; Lawrence J Eron
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hawaii medical journal     Volume:  69     ISSN:  0017-8594     ISO Abbreviation:  Hawaii Med J     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-12     Completed Date:  2011-02-24     Revised Date:  2013-07-02    
Medline Journal Info:
Nlm Unique ID:  2984209R     Medline TA:  Hawaii Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  286-8     Citation Subset:  IM    
Copyright Information:
Hawaii Medical Journal Copyright 2010.
Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96813, USA.
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MeSH Terms
Endocarditis, Bacterial / diagnosis*
Escherichia coli Infections / diagnosis*
Heart Valve Diseases / diagnosis*,  microbiology
Middle Aged
Tricuspid Valve / microbiology*

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