Drug use-related right-sided infective endocarditis complicated by empyema and bronchopleural fistula

2022 ◽  
Vol 15 (1) ◽  
pp. e246663
Author(s):  
Lindsey M Shain ◽  
Taha Ahmed ◽  
Michele L Bodine ◽  
Jennifer G Bauman
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
Bronchopleural Fistula ◽  
Disease Process ◽  
Intravenous Drug ◽  
Pulmonary Emboli ◽  
Intravenous Drug Use ◽  
Respiratory Complications

Right-sided infective endocarditis is frequently accompanied by septic pulmonary emboli, which may result in a spectrum of respiratory complications. We present the case of a 25-year-old woman diagnosed with infective endocarditis secondary to intravenous drug use. During a long and arduous hospital course, the patient developed empyema with bronchopleural fistula, representing severe but uncommon sequelae that may arise from this disease process. She was treated with several weeks of antibiotics as well as surgical thorascopic decortication and parietal pleurectomy.

The Lived Experience of Nurses Caring for Patients Diagnosed With Intravenous Drug Use–Associated Infective Endocarditis in Appalachia: A Phenomenological Study

2021 ◽  
pp. 107839032110377
Author(s):  
Kendrea L. Todt ◽  
Sandra P. Thomas
Keyword(s):  
Substance Use ◽  
Infective Endocarditis ◽  
Drug Use ◽  
Substance Use Disorder ◽  
Phenomenological Study ◽  
Care Delivery ◽  
Intravenous Drug ◽  
Intravenous Drug Use ◽  
Central Theme ◽  
Number Of Patients

BACKGROUND: The number of patients admitted with infective endocarditis (IE) from intravenous drug use (IVDU) in Appalachia is increasing, a direct downstream effect of the opioid crisis. Extant literature highlights the pejorative attitudes health care workers have toward patients with substance use disorder, with nurses among the most punitive. Rather than describe attitudes, the purpose of this study was to describe the lived experiences of nurses caring for patients diagnosed with IE from IVDU in Appalachia. OBJECTIVE: To describe an unexplored phenomenon in Appalachia to inform nursing practice, nursing education, and health policy. METHOD: Qualitative phenomenological study using the University of Tennessee method based on the tenets of Maurice Merleau-Ponty. Nine nurses (ages 29-53 years) recruited using purposive and snowball sampling participated in unstructured phenomenological interviews. RESULTS: The essential meaning or central theme of the nurse experience working with these patients was a sense of hopelessness/hope, with four interrelated themes derived from the central theme: (1) guarding/escaping, (2) responsibility and revulsion, (3) apathy/empathy, and (4) grief and sorrow/cold and unemotional. Universally, nurses perceived caring for this population as futile, feeling a sense of powerlessness to change the outcome. CONCLUSIONS: These care experiences frustrated nurses, who described being physically and emotionally drained. To improve care delivery and improve patient outcomes, emphasis must be placed on nurse addiction education and standardizing nurse to patient with substance use disorder ratios to decrease work-related stress on nurses.

scholarly journals 75 Infective endocarditis and intravenous drug use: a descriptive study

2018 ◽  
Author(s):  
Sam Straw ◽  
Wazir Baig ◽  
Richard Gillott ◽  
Francesco Pirone ◽  
Jonathan Sandoe
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
Descriptive Study ◽  
Intravenous Drug ◽  
Intravenous Drug Use

scholarly journals A Case ofSerratia marcescensEndocarditis in a Nonintravenous Drug-Using Male Patient and Review of Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Achilleas Nikolakopoulos ◽  
Nikolaos Koutsogiannis ◽  
Panagiota Xaplanteri ◽  
Charalambos Gogos ◽  
Fevronia Kolonitsiou ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
Serratia Marcescens ◽  
Male Patient ◽  
Intravenous Drug ◽  
Medical Procedure ◽  
Intravenous Drug Use ◽  
Chordae Tendineae ◽  
Hospital Acquired Infections ◽  
Hospital Acquired

Introduction.Serratia marcescensis a rare cause of infective endocarditis and has almost exclusively been associated with intravenous drug use and hospital-acquired infections. Here, we present a case of infective endocarditis caused bySerratia marcescensin an otherwise healthy, nonintravenous drug-using male patient.Case Report. A 41-year-old man presented with hypertension and hemoptysis. Blood cultures were obtained that showed bacteremia bySerratia marcescens. An echocardiogram was carried out that revealed severe mitral regurgitation accompanying ruptured mitral chordae tendineae. The patient received the appropriate antibiotic treatment, without further surgical intervention.Discussion.Hospital-acquired infections bySerratiaspecies are a common problem in medical practice and have been attributed to specialized interventional procedures. Taking into consideration the patient’s immunocompetence and lack of intravenous drug use, it is possible that bacteremia could be attributed to a medical procedure. Moreover, in contrast to most cases described in the literature, no surgery was performed.

scholarly journals Hemothorax due to Ruptured Mycotic Aneurysm of Intercostal Arteries Associated with Infective Endocarditis

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Eddie Y. Liu ◽  
Jennifer Crawford ◽  
Haissam Haddad
Keyword(s):  
Staphylococcus Aureus ◽  
Infective Endocarditis ◽  
Drug Use ◽  
Mycotic Aneurysm ◽  
Rare Complication ◽  
Intravenous Drug ◽  
Intravenous Drug Use ◽  
Methicillin Resistant

We present a case of hemothorax due to ruptured mycotic aneurysm in three intercostal arteries in a 40-year-old male with methicillin-resistant Staphylococcus aureus infective endocarditis (IE) due to intravenous drug use. Microcoil embolization and thoracotomy successfully achieved hemostasis. Mycotic aneurysm is a rare complication of IE and is usually found in the intracranial vessels. Ruptured mycotic aneurysm in the intercostal arteries can be associated with IE and can present as acute hemothorax.

scholarly journals Intravenous Drug Use-Associated Infective Endocarditis in Pregnant Patients at a Hospital in West Virginia

Cureus ◽  
2021 ◽  
Author(s):  
Deena Dahshan ◽  
Mohamed Suliman ◽  
Ebad U Rahman ◽  
Zachary Curtis ◽  
Ellen Thompson
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
West Virginia ◽  
Intravenous Drug ◽  
Intravenous Drug Use

Addiction Management in Hospitalized Patients With Intravenous Drug Use–Associated Infective Endocarditis

2020 ◽  
Vol 61 (6) ◽  
pp. 678-687
Author(s):  
Vani Ray ◽  
Mindy R. Waite ◽  
Frank C. Spexarth ◽  
Sandra Korman ◽  
Susan Berget ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
Hospitalized Patients ◽  
Intravenous Drug ◽  
Intravenous Drug Use

scholarly journals Infective Endocarditis as a Complication of Intravenous Drug Use in Pregnancy: A Retrospective Case Series and Literature Review

2020 ◽  
Vol 10 (03) ◽  
pp. e288-e293
Author(s):  
Adebayo Adesomo ◽  
Veronica Gonzalez-Brown ◽  
Kara M. Rood
Keyword(s):  
Infective Endocarditis ◽  
Drug Use ◽  
Opioid Use Disorder ◽  
Intravenous Drug ◽  
Care Hospital ◽  
Intravenous Drug Use ◽  
Opioid Use ◽  
Opioid Agonist ◽  
Psychosocial Conditions ◽  
In Pregnancy

Abstract Objective An increase in opioid use disorder and subsequent intravenous drug use has led to an increase in sequalae that may complicate pregnancy, such as infective endocarditis. Infective endocarditis has the potential for significant maternal and neonatal morbidity and mortality. We sought to examine the management considerations and clinical implications of intravenous drug use-related infective endocarditis in pregnancy from our center's experience. Study Design Retrospective study of management of pregnancies complicated by infective endocarditis as a result of active intravenous drug use at an academic tertiary care hospital from January 2012 through December 2019. Results Twelve women with active intravenous drug use histories were identified as having clinical and echocardiographic features consistent with infective endocarditis. Six women were discharged against medical advice and did not complete the full course of recommended antibiotic regimen. Eight women were started or continued on opioid agonist therapy during their hospitalization. Four neonates required neonatal intensive care unit admission for pharmacologic treatment for neonatal abstinence syndrome. Conclusion Management of intravenous drug use-associated infective endocarditis in pregnancy involves more than treating the acute condition. In pregnant women with opioid use disorder and infective endocarditis, addiction and chronic psychosocial conditions need to be addressed to optimize care.

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