| Literature DB >> 31076496 |
Jacinta Ng1, Teesha Downton1, Natalie Davidson2, James Marangou3.
Abstract
An 18-year-old woman presented to our institution with fever, bilateral flank pain, headache and photophobia. She had a previous atrial septal defect (ASD) closure device inserted at the age of 9 years. Blood cultures on admission were positive for Corynebacterium diphtheriae, and transoesophageal echocardiogram (TOE) revealed an echodensity associated with the ASD closure device, most consistent with a vegetation. She was treated for infective endocarditis with 6 weeks of intravenous benzylpenicillin, and follow-up TOE showed resolution of the echodensity. To our knowledge, no cases of C. diphtheriaeendocarditis of an ASD closure device have previously been reported. © BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.Entities:
Keywords: cardiovascular medicine; clinical diagnostic tests; infections; infectious diseases
Mesh:
Substances:
Year: 2019 PMID: 31076496 PMCID: PMC6536175 DOI: 10.1136/bcr-2019-229478
Source DB: PubMed Journal: BMJ Case Rep ISSN: 1757-790X