| Right-sided endocarditis secondary to a peritoneovenous shunt. | |
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MedLine Citation:
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PMID: 20847979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 51-year-old woman with a peritoneovenous shunt for refractory ascites presented with three months of increasing fatigue, exertional dyspnea, night sweats and positive blood cultures. Imaging revealed multiple pulmonary emboli. Transthoracic chocardiography demonstrated moderate tricuspid regurgitation and a large pedunculated right atrial mass attached to the interatrial septum. The echocardiographic appearance remained unchanged after one month of antibiotic therapy and nticoagulation. Intraoperatively, the mass was easily excised and the grossly abnormal tricuspid valve replaced. Pathology revealed endocarditis with multiple bacterial colonies, and fibromyxoid changes consistent with postinflammatory valve disease. |
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Authors:
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Jennifer Higgins; Hossein Shayan; Guy Fradet |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 26 ISSN: 1916-7075 ISO Abbreviation: Can J Cardiol Publication Date: 2010 Aug-Sep |
Date Detail:
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Created Date: 2010-09-17 Completed Date: 2010-10-15 Revised Date: 2011-08-03 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: Canada |
Other Details:
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Languages: eng Pagination: e280-1 Citation Subset: IM |
Affiliation:
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University of British Columbia, Vancouver. jwille@interchange.ubc.ca |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use Anticoagulants / therapeutic use Cardiac Surgical Procedures / methods Drug Therapy, Combination Endocarditis, Bacterial / diagnosis, microbiology*, therapy Female Gram-Positive Bacterial Infections / complications*, diagnosis, therapy Heart Valve Prosthesis Implantation Humans Middle Aged Peritoneovenous Shunt / adverse effects* Peritonitis / complications* Treatment Outcome Tricuspid Valve / pathology, surgery |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 0/Anticoagulants |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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