scholarly journals Care the epicardial pacemaker wires

2021 ◽  
Author(s):  
Luísa Gonçalves ◽  
José Máximo ◽  
Jorge Almeida ◽  
Paulo Pinho
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Treatment ◽  
Right Atrium ◽  
Cardiac Involvement ◽  
Cystic Mass ◽  
Mass Size ◽  
The Right ◽  
And Staphylococcus Aureus

Abstract A patient with previous CABG was hospitalized for fever and Staphylococcus aureus bacteraemia without cardiac involvement. After appropriate antibiotic cycle, the patient recovered and was discharged. Six months later, symptoms and bacteraemia relapsed. A small intriguing ‘cystic’ mass was visualized in the right atrium by echocardiography. Once again, was discharged after successful antibiotic treatment. Four months later, symptoms and Staphylococcus bacteraemia reappeared with increasing mass size and surgery was decided. Intraoperatively, it was perceived that the mass was related to an epicardial pacemaker wire. Retained epicardial wires should be remembered in endocarditis evaluation.

scholarly journals P1498 Right atrial thrombus in a young septic patient with lymphoma

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Habjan ◽  
B Erzen ◽  
M Miklic ◽  
A Skarlovnik
Keyword(s):  
Staphylococcus Aureus ◽  
Right Atrium ◽  
Inflammatory Markers ◽  
Clinical Status ◽  
Left Knee ◽  
Blood Cultures ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
The Right ◽  
And Staphylococcus Aureus

Abstract Background Catheter-related right atrial thrombosis is a rare, but potentially life threatening complication in patients with central venous catheters (CVCs). Echocardiography is an indispensable tool in the diagnosis of right atrial thrombosis. We present a case of a young man with lymphoma, Staphylococcus aureus sepsis and a peripherally inserted central catheter (PICC) who had a septic thrombus in the right atrium. Case summary A 23-year-old male patient with recently diagnosed Hodgkin’s lymphoma had an inserted PICC for the purpose of chemotherapy application. Three days after the first chemotherapy application a thrombosis of the cephalic and subclavian veins at the site of PICC was found. The PICC was removed and the patient was treated with therapeutic doses of dalteparin. A day after the discovery of thrombosis, the patient became clinically septic, with high inflammatory markers and Staphylococcus aureus was isolated from his blood cultures. He was promptly treated with flucloxacillin. Due to pain in his left knee, a knee puncture was performed, and Staphylococcus aureus was isolated also from the knee synovial fluid. A transthoracic echocardiography revealed a 2.8 x 2.8 cm sessile thrombus on the lateral wall of the right atrium. There were no vegetations on the tricuspid or other valves. Due to increasing pain in his left knee and an increase in inflammatory markers a synovectomy was performed. After the operation the clinical status improved and the inflammatory parameters decreased. A magnetic resonance imaging of the heart was performed, which confirmed the thrombus described by echocardiography and excluded the presence of abscesses. All the time the patient was treated in the intensive care unit with standard heparin, flucloxacillin, and piperacillin/tazobactam due to neutropenia. The inflammatory markers slowly decreased and all further blood cultures were negative. Follow-up echocardiography after 16 days of antibiotic and anticoagulant therapy revealed that the mass in the right atrium, attached on the lateral atrium wall, was slightly smaller than before. The mass was centrally un-echogenic with echogenic cover, appearing as a partial regression of the septic thrombus with a central colliquation. The heart valves remained free of vegetations. There was a minor pericardial effusion, with no signs of constriction. Due to improved clinical status the patient was able to start with chemotherapy again after a pause of three weeks. Conclusion The patient had three important risk factors for thrombosis: PICC, sepsis and malignancy. Echocardiography is an important tool for mass diagnosis and the exclusion of vegetations in a septic patient. Often there is a need for further specification of the mass etiology or for the exclusion of other pathology, like abscesses in our case. Magnetic resonance is an important tool that can complement the echocardiographic examination. Abstract P1498 Figure. Right atrial thrombus

scholarly journals A Case of Cardiac Lymphangioma Presenting as a Cystic Mass in the Right Atrium

2007 ◽  
Vol 48 (6) ◽  
pp. 1043 ◽  
Author(s):  
Shin-Jae Kim ◽  
Eun-Seok Shin ◽  
Seon Woon Kim ◽  
Je-Kyoun Shin ◽  
Jong-Pil Cheong ◽  
...  
Keyword(s):  
Right Atrium ◽  
Cystic Mass ◽  
The Right

scholarly journals Isolated metastasis of hepatocellular carcinoma in the right atrium: a case observed in a university hospital in West Africa (Bouake, Ivory Coast)

2021 ◽  
pp. 54
Author(s):  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Right Atrium ◽  
Cardiac Involvement ◽  
Right Heart Failure ◽  
Symptomatic Treatment ◽  
West African ◽  
University Hospital ◽  
Focal Hepatic Lesion ◽  
The Right ◽  
Upper Gastrointestinal

Intracardiac metastases from hepatocellular carcinoma (HCC) are rare and have a poor prognosis. We report an observation in a West African university hospital in a 39-year-old black patient admitted with upper gastrointestinal bleeding. Clinical examination noted signs of cirrhosis, namely hepatocellular failure, portal hypertension, melena and signs of right heart failure against a background of deterioration in general condition (WHO-3). The CT scan showed a focal hepatic lesion with arterial enhancement and portal lavage compatible with HCC and a right intracardiac mass taking contrast. Doppler echocardiography confirmed the presence of a large heterogeneous mass occupying almost the entire right atrium. Palliative and symptomatic treatment was instituted in the patient improving his clinical condition. His death occurred two months after his release. The intracardiac localization of HCC, although rare, is not exceptional and of appalling prognosis. It should be sought in the assessment of the extension of HCC, especially in the presence of signs of cardiac involvement.

scholarly journals Sinusitis as a cause of orbital cellulitis

1999 ◽  
Vol 5 (3) ◽  
pp. 556-559
Author(s):  
A. Haddadin ◽  
E. Saca ◽  
A. Husban
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Treatment ◽  
Orbital Cellulitis ◽  
Streptococcus Viridans ◽  
Enterococcal Infection ◽  
Complete Blood Counts ◽  
And Staphylococcus Aureus

To determine the importance of sinusitis as a cause of orbital cellulitis, the causative organisms and peak age of occurrence, 25 patients hospitalized with orbital cellulitis (ages 8 months to 17 years; 80%, 1-4 years) were studied. Complete blood counts were carried out and radiographic sinus examinations and eye swabs (for culturing) performed prior to antibiotic treatment. Sinusitis was evident in 72% of the patients. Eye swab cultures indicated 80% had streptococcal, staphylococcal or enterococcal infection. The data indicate that sinusitis is an important cause of orbital cellulitis. The most common causative organisms were Streptococcus viridans (44%) and Staphylococcus aureus (32%). Initial antibiotics should therefore cover both organisms.

scholarly journals Right Atrial Blood Cyst with Stones Suspended from the Coronary Sinus

2019 ◽  
Vol 19 (2) ◽  
pp. 161
Author(s):  
Feridoun Sabzi ◽  
Aghigh Heydari ◽  
Atefeh Asadmobini ◽  
Mohammad B. Heidari
Keyword(s):  
Coronary Sinus ◽  
Right Atrium ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Cystic Mass ◽  
Right Atrial ◽  
Operative Surgical Procedure ◽  
Small Stone ◽  
Chiari Network ◽  
The Right

ABSTRACT: Cardiac blood cysts are rare benign neoplasms, usually involving the cardiac valves and are remnants of the Chiari network. They are usually detected in the first six months of life and rarely occur in children or adults. We report a 76-year-old male patient who was referred to the Imam Ali Hospital affiliated with Kermanshah University of Medical Sciences, Kermanshah, Iran, in 2018 with dyspnoea. Transthoracic echocardiography revealed a small patent foramen ovale (PFO) and a circumferential mobile cystic mass in the right atrium, with the impression of a tumour or thrombus. The patient underwent open-heart surgery with cardiopulmonary bypass to repair to PFO and remove the intra-atrial lesion. During surgical examination of the right atrial cavity, a blood cyst containing small stone-like structures on the coronary sinus valve of the right atrium was found. The post-operative course was uneventful and no recurrence of tumour was detected during six months of follow-up. To the best of our knowledge, this is the first reported case of a right atrial blood cyst with a few nodule-like stones in an adult with PFO in Iran and the second case in an adult with PFO worldwide.Keywords: Cyst; Coronary Sinus; Adult; Operative Surgical Procedure; Case Report; Iran.

scholarly journals Necrotizing fasciitis in a 5-week-old infant: An unusual presentation

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110371
Author(s):  
Jay Lodhia ◽  
Desderius Chussi ◽  
Elisamia Ngowi ◽  
Loreen Laizer ◽  
Leanji Leonard ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Necrotizing Fasciitis ◽  
Sudden Onset ◽  
Surrounding Tissue ◽  
Lower Jaw ◽  
Intravenous Antibiotics ◽  
Life Threatening ◽  
The Right ◽  
And Staphylococcus Aureus ◽  
Purulent Fluid

Necrotizing fasciitis is a rare and life-threatening soft-tissue infection characterized by rapidly spreading inflammation and subsequent necrosis of the fascial planes and surrounding tissue. These children should be managed promptly with broad-spectrum antibiotics and possible surgical debridement. Here, we present a 5-week-old female infant who presented with fever and ulcer on right lower jaw. She had a sudden onset of darkening of the right lower jaw, which progressed to reddish discoloration, and then an ulcer developed in the middle of this area of discoloration. She had a tender swelling extending from the right pre-auricular area to the right upper neck, crossing the right jaw and extending toward the right cheek and maxillary area. Swelling had areas of hyperpigmentation with an ulcer measuring 2 by 3 cm at the center of the lesion, oozing purulent fluid, and Staphylococcus aureus was cultured. The surgeons conducted incision and debridement in theater after suspecting necrotizing fasciitis of the jaw and the baby was kept on intravenous antibiotics, antiretroviral therapy and was dressed daily. The child fared well thereafter.

scholarly journals Bactericidal Activity of Ready-To-Use Alcohol-Based Commercial Wipes According to EN 16615 Carrier Standard

2019 ◽  
Vol 16 (18) ◽  
pp. 3475
Author(s):  
Tarka ◽  
Chojecka ◽  
Paduch ◽  
Nitsch-Osuch ◽  
Kanecki ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Pseudomonas Aeruginosa ◽  
Bactericidal Activity ◽  
Bacterial Load ◽  
Mechanical Action ◽  
Alcoholic Solution ◽  
Test Surface ◽  
Enterococcus Hirae ◽  
The Right ◽  
And Staphylococcus Aureus

Background: The effectiveness of ready-to-use disinfectant wipes was previously assessed in standardized suspension tests, which were inadequate because they ignored that the wipes are rubbed against a surface. Thus, we assessed the effectiveness of commercially available disinfectant wipes impregnated with an alcoholic solution according to the 16615 standard, which includes a test with mechanical action. Methods: According to the EN 16615 standard, under clean conditions, four squares (5cm x 5 cm), placed next to one another, were marked on a test surface. Enterococcus hirae, Pseudomonas aeruginosa, and Staphylococcus aureus were inoculated on the leftmost square, and a wipe impregnated with an alcoholic solution was placed to the left of that square. Then, the wipe was pressed with a 2.5 kg weight and moved to the right and back to the left. After contact times of 1, 5, 10, or 15 minutes, we measured the reduction in bacterial load. Results: Alcohol-based ready-to-use commercial wipes did not show sufficient bactericidal activity at the contact times of 1, 5, 10 and 15 minutes. Wipes containing propan-1-ol and a mixture of propan-1-ol and propan-2-ol were active against Pseudomonas aeruginosa at the contact times of 1 minute and 15 minutes. None of the examined wipes were active against Enterococcus hirae or Staphylococcus aureus. Conclusion: Bactericidal parameters of ready-to-use disinfectant wipes should be determined in surface tests, in addition to suspension tests, because suspension tests do not simulate the conditions under which disinfectant wipes are used in practice.

Giant Vegetation in the Right Ventricle Caused by Staphylococcus aureus and Candida mycoderma

2014 ◽  
Vol 17 (1) ◽  
pp. 7 ◽  
Author(s):  
Hui Ouyang ◽  
Xiaochen Wu ◽  
Jinbao Zhang
Keyword(s):  
Staphylococcus Aureus ◽  
Right Ventricle ◽  
Antibiotic Treatment ◽  
Invasive Treatment ◽  
Rare Type ◽  
Case Presentation ◽  
Computed Tomographic ◽  
The Right ◽  
Early Surgical Intervention ◽  
Severe Lung

<p><b>Introduction:</b> Infective endocarditis (IE) is considered a multifactorial disease. Providing an early diagnosis and invasive treatment together with effective antibiotic treatment remain critical tasks for the cardiologist and the surgeon. Right ventricular endocarditis is a rare type of endocarditis usually caused by Staphylococcus aureus and Candida mycoderma.</p><p><b>Case Presentation:</b> We present a 25-year-old male patient who presented with persistent malaise, fever, cough, and anorexia after 55 days of antibiotic treatment. Lung computed tomographic scanning excluded severe lung infection. Transthoracic and transesophageal echocardiography revealed a giant vegetation in the right ventricle. Blood culture was positive for S. aureus and C. mycoderma, and antibiotic therapy was immediately applied. Considering the large burden of infected tissue, an early surgical intervention was planned. The cultures of the vegetation specimen were negative. Intraoperative and histological findings confirmed the echocardiographic diagnosis of IE.</p><p><b>Conclusions:</b> Giant vegetations in the right ventricle caused by S. aureus and C. mycoderma are rare. In addition to medical treatment, more attention should be paid to early surgical consultation.</p>

Sign in / Sign up

Export Citation Format

Share Document