The patient began to feel better 2 days into an intravenous course of antibiotics,
but this was deceptive. A 25-year-old woman with a history of polysubstance abuse
and recent tick exposure presented after 10 days of fever, myalgia, and shortness
of breath without cough. She used intranasal cocaine 1 day before admission, and her
last use of an intravenous substance occurred 6 months earlier. She had no recent
travel history.
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References
- Right-side endocarditis in injection drug users: review of proposed mechanisms of pathogenesis.Clin Infect Dis. 2000; 30: 374-379
- Bacterial mural endocarditis. A case series.Heart Lung Circ. 2014; 23: e172-e179
- Rarity of invasiveness in right-sided infective endocarditis.J Thorac Cardiovasc Surg. 2018; 155: 54-61
- 2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).Eur Heart J. 2015; 36: 3075-3128
Article info
Publication history
Published online: April 13, 2018
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: Both authors had access to the data and played a role in writing this manuscript.
Identification
Copyright
Published by Elsevier Inc.
