Mahajan Ankit, Amer Mohammad, Awan Ahmad, Tiruneh Fasil, Gandotra Charu, Curry Bryan
Department of Internal Medicine, Howard University Hospital.
Cardiology, Howard University Hospital.
Cureus. 2017 Sep 27;9(9):e1717. doi: 10.7759/cureus.1717.
Infective endocarditis, caused by Pseudomonas aeruginosa, is rarely seen in clinical practice. It has been reported mainly in intravenous drug abusers (IVDA). We present a case of a 63-year-old male who presented with abdominal pain and fever. Computed tomography (CT) abdomen showed splenic and renal infarct. The blood culture grew Pseudomonas aeruginosa. A transthoracic echocardiogram showed aortic insufficiency with 13 mm mobile vegetation. The patient was started on ceftazidime and tobramycin and, later on, surgery was done for aortic valve replacement. His stay was complicated by multiple hemorrhagic emboli in the brain. This case highlights the importance of the early diagnosis and management of infective endocarditis caused by Pseudomonas aeruginosa.
由铜绿假单胞菌引起的感染性心内膜炎在临床实践中很少见。主要在静脉药物滥用者（IVDA）中报道过。我们报告一例63岁男性，表现为腹痛和发热。腹部计算机断层扫描（CT）显示脾梗死和肾梗死。血培养培养出铜绿假单胞菌。经胸超声心动图显示主动脉瓣关闭不全，有一个13毫米的活动赘生物。患者开始使用头孢他啶和妥布霉素治疗，后来进行了主动脉瓣置换手术。他住院期间并发了脑部多处出血性栓塞。该病例强调了早期诊断和治疗铜绿假单胞菌引起的感染性心内膜炎的重要性。
