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Left-Sided Pseudomonas aeruginosa Endocarditis in Patients Without Injection Drug Use.
MedLine Citation:
PMID:  21694647     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We aimed to determine the clinical features, predisposing factors, and outcome of left-sided Pseudomonas aeruginosa endocarditis in persons with no history of injection drug use. We performed a retrospective review of patient medical records from Mayo Clinic (Rochester, MN; Scottsdale, AZ; and Jacksonville, FL) for all cases of left-sided P. aeruginosa endocarditis. We identified 4 cases. We present these cases, as well as a review of the English-language medical literature. Data gathered included the year the case was reported; the valve involved; treatment, including valve replacement surgery; and outcome, if known. Left-sided P. aeruginosa endocarditis in persons without injection drug use is a rare but serious infection, with a history of instrumentation as a common predisposing condition. Valvular surgery is indicated, when possible, for the best chance of survival, along with extended therapy with combination antibiotics for complete recovery.
Authors:
Nancy L Dawson; Lisa M Brumble; Bobbi S Pritt; Joseph D Yao; J Dan Echols; Salvador Alvarez
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-18
Journal Detail:
Title:  Medicine     Volume:  -     ISSN:  1536-5964     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985248R     Medline TA:  Medicine (Baltimore)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From Division of Hospital Internal Medicine (NLD) and the Division of Infectious Diseases (LMB, SA), Mayo Clinic, Jacksonville, Florida; the Division of Clinical Microbiology (BSP, JDY), Mayo Clinic, Rochester, Minnesota; and the Division of Consultative Medicine (JDE) Mayo Clinic, Scottsdale, Arizona.
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