Implantable device-related endocarditis detected by point-of-care echocardiography in a patient with dyspnea and chest pain

  • Alfonso Sforza Emergency Department, CTO Hospital, Naples, Italy.
  • Maria Viviana Carlino Emergency Department, CTO Hospital, Naples, Italy.
  • Mario Guarino Emergency Department, CTO Hospital, Naples, Italy.
  • Giuliano De Stefano Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
  • Maria Immacolata Arnone Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
  • Stefania Auciello Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
  • Andrea D'Amato Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.
  • Costantino Mancusi | costantino.mancusi@unina.it Hypertension Research Center, UOC Emergency Medicine, Federico II University Hospital, Naples, Italy.

Abstract

We describe a case of a 70-year-old man who presented to the emergency department with dyspnea and chest pain. He had history of atrial fibrillation, chronic obstructive pulmonary disease, prosthetic mitral valve and pacemaker implantation. He had a sepsis related to multiple bilateral septic emboli pointed out by chest computed tomography scan. Point of care echocardiography showed a pacemaker-related endocarditis with large vegetation on the right ventricular lead. The patient started empiric antibiotic therapy and he was addressed to complete hardware removal.

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Published
2018-12-04
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Section
Case Reports
Keywords:
Point-of-care ultrasound, emergency department, septic pulmonary embolism, pacemaker endocarditis.
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How to Cite
Sforza, A., Carlino, M. V., Guarino, M., De Stefano, G., Arnone, M. I., Auciello, S., D’Amato, A., & Mancusi, C. (2018). Implantable device-related endocarditis detected by point-of-care echocardiography in a patient with dyspnea and chest pain. Italian Journal of Medicine, 12(4), 273-275. https://doi.org/10.4081/itjm.2018.1050

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