The American journal of case reports · 2014
Corynebacterium diphtheriae endocarditis with multifocal septic emboli: can prompt diagnosis help avoid surgery?
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Patris Vasileios, Argiriou Orestis, Konstantinou Charalampos, Lama Niki, Georgiou Haris, Katsanevakis Emmanouil, Argiriou Mihalis, Charitos Christos
Аннотация
PATIENT: Male, 23.
FINAL DIAGNOSIS: Corynebacterium diphtheriae endocarditis.
SYMPTOMS: Abdominal pain • cachexia • diarrhea • fever • vomiting.
MEDICATION: -.
CLINICAL PROCEDURE: Mitral valve replacement.
SPECIALTY: Surgery.
OBJECTIVE: Rare disease.
BACKGROUND: Although Corynebacterium diphtheriae is well known for causing diphtheria and other respiratory tract infections, in very rare cases it can lead to severe systemic disease.
CASE REPORT: This is a case of a previously healthy young man (no prosthetic valve in situ or other known congenital defect), presenting with a Corynebacterium diphtheriae infection leading to endocarditis. The patient reported no I.V. drug use, so it can be assumed that no risk factors for infective endocarditis were present.
CONCLUSIONS: This report aims to raise suspicion for this specific infection in order to proceed with the right treatment as soon as possible.
FINAL DIAGNOSIS: Corynebacterium diphtheriae endocarditis.
SYMPTOMS: Abdominal pain • cachexia • diarrhea • fever • vomiting.
MEDICATION: -.
CLINICAL PROCEDURE: Mitral valve replacement.
SPECIALTY: Surgery.
OBJECTIVE: Rare disease.
BACKGROUND: Although Corynebacterium diphtheriae is well known for causing diphtheria and other respiratory tract infections, in very rare cases it can lead to severe systemic disease.
CASE REPORT: This is a case of a previously healthy young man (no prosthetic valve in situ or other known congenital defect), presenting with a Corynebacterium diphtheriae infection leading to endocarditis. The patient reported no I.V. drug use, so it can be assumed that no risk factors for infective endocarditis were present.
CONCLUSIONS: This report aims to raise suspicion for this specific infection in order to proceed with the right treatment as soon as possible.