Diagnosis of E. coli tricuspid valve endocarditis: a case report
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 t...
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Veröffentlicht in: | Hawaii medical journal (1962) 2010-12, Vol.69 (12), p.286-288 |
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creator | Tsutsumi, Takahiko Hiraoka, Eiji Kanazawa, Kenji Akita, Hozuka Eron, Lawrence J |
description | 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. |
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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. 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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.</description><subject>Endocarditis, Bacterial - diagnosis</subject><subject>Escherichia coli Infections - diagnosis</subject><subject>Heart Valve Diseases - diagnosis</subject><subject>Heart Valve Diseases - microbiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Tricuspid Valve - microbiology</subject><issn>0017-8594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j71OwzAYRT2AaCm8AvLGFGTHdmIzgUoLSJVYYI788xkZOXGwk0q8PZEo07nD0b26Z2hNCG0rKRRfoctSvghhikpxgVY1rWshJF-jh6egP4dUQsHJ490dtikGPOVg5zIGh486HgHD4JLV2YUplHussdUFcIYx5ekKnXsdC1yfuEEf-9379qU6vD2_bh8P1UhrMVWN1VZyIQUzlCzrzFovlPKUcyZ5y40FC65uvHdLJOAY80or15jGmAVsg27_esecvmcoU9eHYiFGPUCaSyeZaqmgrVzMm5M5mx5cN-bQ6_zT_Z9mv63fUiI</recordid><startdate>201012</startdate><enddate>201012</enddate><creator>Tsutsumi, Takahiko</creator><creator>Hiraoka, Eiji</creator><creator>Kanazawa, Kenji</creator><creator>Akita, Hozuka</creator><creator>Eron, Lawrence J</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201012</creationdate><title>Diagnosis of E. coli tricuspid valve endocarditis: a case report</title><author>Tsutsumi, Takahiko ; Hiraoka, Eiji ; Kanazawa, Kenji ; Akita, Hozuka ; Eron, Lawrence J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p125t-6cac845853b101223ccf599f14438474bceced26ffdbce0ed33f9a9d6b6bb9d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Endocarditis, Bacterial - diagnosis</topic><topic>Escherichia coli Infections - diagnosis</topic><topic>Heart Valve Diseases - diagnosis</topic><topic>Heart Valve Diseases - microbiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Tricuspid Valve - microbiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Tsutsumi, Takahiko</creatorcontrib><creatorcontrib>Hiraoka, Eiji</creatorcontrib><creatorcontrib>Kanazawa, Kenji</creatorcontrib><creatorcontrib>Akita, Hozuka</creatorcontrib><creatorcontrib>Eron, Lawrence J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Hawaii medical journal (1962)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsutsumi, Takahiko</au><au>Hiraoka, Eiji</au><au>Kanazawa, Kenji</au><au>Akita, Hozuka</au><au>Eron, Lawrence J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnosis of E. coli tricuspid valve endocarditis: a case report</atitle><jtitle>Hawaii medical journal (1962)</jtitle><addtitle>Hawaii Med J</addtitle><date>2010-12</date><risdate>2010</risdate><volume>69</volume><issue>12</issue><spage>286</spage><epage>288</epage><pages>286-288</pages><issn>0017-8594</issn><abstract>Escherichia coli is a rare cause of bacterial endocarditis. 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subjects | Endocarditis, Bacterial - diagnosis Escherichia coli Infections - diagnosis Heart Valve Diseases - diagnosis Heart Valve Diseases - microbiology Humans Male Middle Aged Tricuspid Valve - microbiology |
title | Diagnosis of E. coli tricuspid valve endocarditis: a case report |
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