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
Hauptverfasser: Tsutsumi, Takahiko, Hiraoka, Eiji, Kanazawa, Kenji, Akita, Hozuka, Eron, Lawrence J
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container_end_page 288
container_issue 12
container_start_page 286
container_title Hawaii medical journal (1962)
container_volume 69
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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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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