Responsible Compassionate Care: Meeting the Needs of Patients with a History of Intravenous Drug Abuse

Abstract Vascular access specialists are brought into many difficult situations that stretch their ability to provide appropriate care to patients who have complicated medical and personal histories. In the following case, a hospital was challenged to provide appropriate care while remaining responsible and compassionate throughout the duration of infusate delivery.

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An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse

Cureus ◽

10.7759/cureus.1717 ◽

2017 ◽

Author(s):

Ankit Mahajan ◽

Mohammad Amer ◽

Ahmad Awan ◽

Fasil Tiruneh ◽

Charu Gandotra ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Drug Abuse ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

History Of

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Influence of Intravenous Drug Abuse on Vascular Access Placement and Survival in HIV-Seropositive Patients

Nephron Clinical Practice ◽

10.1159/000085031 ◽

2005 ◽

Vol 100 (2) ◽

pp. c38-c45 ◽

Cited By ~ 3

Author(s):

Joseph A. Eustace ◽

Peter C. Gregory ◽

Mahesh Krishnan ◽

Wen Ni ◽

Doreen M. Kuhn ◽

...

Keyword(s):

Drug Abuse ◽

Vascular Access ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Hiv Seropositive

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Response to treatment of hepatitis C in individuals with a recent history of intravenous drug abuse

The American Journal of Gastroenterology ◽

10.1111/j.1572-0241.2003.07702.x ◽

2003 ◽

Vol 98 (10) ◽

pp. 2281-2288 ◽

Cited By ~ 2

Author(s):

David H. Thiel ◽

Abhinandana Anantharaju ◽

Steven Creech

Keyword(s):

Hepatitis C ◽

Drug Abuse ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Response To Treatment ◽

Recent History ◽

History Of

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Homograft patch repair in carotid artery rupture

VASA ◽

10.1024/0301-1526.36.4.279 ◽

2007 ◽

Vol 36 (4) ◽

pp. 279-281 ◽

Cited By ~ 3

Author(s):

Teebken ◽

Pichlmaier ◽

Leinung ◽

Lenarz ◽

Haverich

Keyword(s):

Drug Abuse ◽

Carotid Artery ◽

Common Carotid Artery ◽

Intravenous Drug ◽

Patch Repair ◽

Intravenous Drug Abuse ◽

Autologous Vein ◽

Vein Segment ◽

History Of ◽

Carotid Bulb

The case of a 24-year-old man with a rupture of the left common carotid artery and history of intravenous drug abuse is presented. Due to absence of a suitable autologous vein segment the carotid bulb was repaired with a human allograft patch.

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Intravenous Drug Abuse by Patients Inside the Hospital: A Cause for Sustained Bacteremia

Case Reports in Infectious Diseases ◽

10.1155/2016/1738742 ◽

2016 ◽

Vol 2016 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Noopur Goel ◽

Lubna Bashir Munshi ◽

Braghadheeswar Thyagarajan

Keyword(s):

Drug Abuse ◽

Hospital Stay ◽

Bacillus Cereus ◽

Active Drug ◽

Opportunistic Infections ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Inpatient Stay ◽

Adequate Treatment ◽

History Of

Patients with history of intravenous drug abuse are noted to be at risk of several infections including HIV, endocarditis, and other opportunistic infections. We report the case of a patient with sustainedBacillus cereusbacteremia despite use of multiple antibiotic regimens during his inpatient stay. Our case highlights the importance of high suspicion for active drug use inside the hospital in such patients. This is important in order to minimize unnecessary diagnostic workup and provide adequate treatment and safe hospital stay for these patients.

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A Complicated Case ofSerratia marcescensInfective Endocarditis in the Era of the Current Opioid Epidemic

Case Reports in Infectious Diseases ◽

10.1155/2018/5903589 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ho-Man Yeung ◽

Brijaé Chavarria ◽

Dariush Shahsavari

Keyword(s):

Drug Abuse ◽

Infective Endocarditis ◽

Intravenous Drug ◽

Intravenous Drug Abuse ◽

Course Of Disease ◽

Septic Emboli ◽

Severe Aortic Regurgitation ◽

History Of ◽

Pain Symptoms ◽

Complicated Nature

While bacteremia due toSerratia marcescensis not uncommon, it rarely causes infective endocarditis. We report an isolated case of a 53-year-old male with history of intravenous drug abuse who presented with multiple acute pain symptoms and was found to haveS. marcescensbacteremia with septic emboli in his spleen, brain, and testes, secondary to a large aortic vegetation, as well as aortic infective endocarditis with severe aortic regurgitation requiring aortic valve replacement. His course of disease was further complicated by epidural and psoas abscesses and a necrotic testicle requiring orchiectomy due to his ongoing intravenous drug abuse. This case is an atypical presentation ofS. marcescensinfection, as he had no overt signs of infection such as fever or significant leukocytosis that are typical of bacteremia, and it also highlights the severity and complicated nature ofS. marcescens-infective endocarditis.

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