Hernandez Sheila D, Jabaay Maxwell J, Marotta Dario A, Tosto Sebastian T, Velayati Arash
Internal Medicine Residency Program, Southeast Health, Dothan, USA.
Department of Research, Alabama College of Osteopathic Medicine, Dothan, USA.
Cureus. 2021 Mar 10;13(3):e13810. doi: 10.7759/cureus.13810.
Infective endocarditis and vertebral osteomyelitis are rare infections, most commonly caused by methicillin-sensitive (MSSA). The eustachian valve is an embryological remnant of the inferior vena cava that has the potential to harbor a nidus leading to infective endocarditis. Eustachian valve endocarditis has been documented in the literature on less than 50 occasions and has yet to be documented in the presence of concomitant vertebral osteomyelitis. In this case, we present a 43-year-old male presenting with vertebral osteomyelitis caused by methicillin-resistant (MRSA). Persistent bacteremia prompted the identification of vegetative growth on a eustachian valve remnant. This case helps mend the gap in the literature by documenting the treatment considerations in a patient with eustachian valve endocarditis in the presence of osteomyelitis caused by MRSA.
感染性心内膜炎和脊椎骨髓炎是罕见的感染性疾病，最常见的病因是对甲氧西林敏感的金黄色葡萄球菌（MSSA）。欧氏瓣是下腔静脉的胚胎残余物，有可能成为导致感染性心内膜炎的病灶。文献中记载的欧氏瓣心内膜炎病例不到50例，且尚未有同时合并脊椎骨髓炎的相关记载。在此病例中，我们报告了一名43岁男性，患有由耐甲氧西林金黄色葡萄球菌（MRSA）引起的脊椎骨髓炎。持续性菌血症促使我们在欧氏瓣残余物上发现了赘生物生长。本病例通过记录一名患有欧氏瓣心内膜炎且合并MRSA所致骨髓炎患者的治疗注意事项，填补了文献中的空白。
