Arumairaj Antony J, Boma Noella, Mushiyev Savi, Morcos Morcos, Habtes Imnett
Internal Medicine, Metropolitan Hospital Center, New York, USA.
Cardiology, Metropolitan Hospital Center, New York, USA.
Cureus. 2020 Oct 1;12(10):e10751. doi: 10.7759/cureus.10751.
The presentation of fevers in a patient with active intravenous (IV) drug use is often challenging, as there is a wide range of both infectious and noninfectious disorders that can cause fevers. A thorough diagnostic workup is essential in identifying the etiology of these fevers. We report a rare case of an infected right ventricular (RV) thrombus as a cause of persistent fever and sepsis in a 46-year-old patient with IV drug use. The patient continued to have persistent bacteremia inspite of appropriate IV antibiotics. Hence, the patient warranted a cardiothoracic surgical excision of the infected RV thrombus following which the patient showed remarkable improvement.
对于有静脉注射毒品史的患者，发热的表现往往具有挑战性，因为有多种感染性和非感染性疾病都可能导致发热。进行全面的诊断检查对于确定这些发热的病因至关重要。我们报告了一例罕见病例，一名46岁有静脉注射毒品史的患者，因右心室（RV）血栓感染导致持续发热和败血症。尽管使用了合适的静脉抗生素，患者仍持续存在菌血症。因此，该患者需要进行心胸外科手术切除感染的右心室血栓，术后患者有显著改善。
