Endocarditis: A Diagnostic Challenge
A 74-year-old hemodialysis patient with a history of an atrial septum defect closure, coronary bypass surgery, and a St. Jude aortic prosthetic valve was diagnosed with pneumonia and volume overload. Blood cultures were positive for Listeria monocytogenes , and amoxicillin was given for 2 weeks. Imm...
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| Main Authors: | , , , , , |
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| Format: | Book |
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SAGE Publishing,
2017-04-01T00:00:00Z.
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| 001 | doaj_d4e224e6b16d4c0c9fb22b0a8cbf5537 | ||
| 042 | |a dc | ||
| 100 | 1 | 0 | |a Wilhelmina J. A. R. M. Valckx MD |e author |
| 700 | 1 | 0 | |a Suzanne P. M. Lutgens MD, PhD |e author |
| 700 | 1 | 0 | |a Hortence E. Haerkens-Arends MD |e author |
| 700 | 1 | 0 | |a Peter C. Barneveld MD |e author |
| 700 | 1 | 0 | |a Jaap J. Beutler MD, PhD |e author |
| 700 | 1 | 0 | |a Ellen K. Hoogeveen MD, PhD |e author |
| 245 | 0 | 0 | |a Endocarditis: A Diagnostic Challenge |
| 260 | |b SAGE Publishing, |c 2017-04-01T00:00:00Z. | ||
| 500 | |a 2324-7096 | ||
| 500 | |a 10.1177/2324709617698995 | ||
| 520 | |a A 74-year-old hemodialysis patient with a history of an atrial septum defect closure, coronary bypass surgery, and a St. Jude aortic prosthetic valve was diagnosed with pneumonia and volume overload. Blood cultures were positive for Listeria monocytogenes , and amoxicillin was given for 2 weeks. Immediately after discontinuation of amoxicillin, fever relapsed. Transthoracic and transesophageal echocardiography showed no sign of endocarditis. Given the fever relapse and 3 positive minor Duke criteria, an 18 F-FDG PET-CT scan ( 18 F-fluorodeoxyglucose-positron emission tomography-computed tomography) scan was performed. This scan showed activity at the aortic root, proximal ascending aorta, and inferior wall of the heart, making Listeria monocytogenes endocarditis a likely explanation. Amoxicillin was given for 6 weeks with good clinical result. Diagnosing a life-threatening Listeria monocytogenes endocarditis can be challenging and an 18 F-FDG PET-CT scan can be helpful. | ||
| 546 | |a EN | ||
| 690 | |a Medicine (General) | ||
| 690 | |a R5-920 | ||
| 690 | |a Pathology | ||
| 690 | |a RB1-214 | ||
| 655 | 7 | |a article |2 local | |
| 786 | 0 | |n Journal of Investigative Medicine High Impact Case Reports, Vol 5 (2017) | |
| 787 | 0 | |n https://doi.org/10.1177/2324709617698995 | |
| 787 | 0 | |n https://doaj.org/toc/2324-7096 | |
| 856 | 4 | 1 | |u https://doaj.org/article/d4e224e6b16d4c0c9fb22b0a8cbf5537 |z Connect to this object online. |