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.

Downloads

Download data is not yet available.
Published
2018-12-04
Section
Case Reports
Keywords:
Point-of-care ultrasound, emergency department, septic pulmonary embolism, pacemaker endocarditis.
Statistics
Abstract views: 456

PDF: 241
HTML: 17
Share it

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

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

Most read articles by the same author(s)