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Journal of Anesthesia

, Volume 19, Issue 1, pp 84–87 | Cite as

Infective endocarditis at the tricuspid valve following central venous catheterization

  • Shu-ichi Yamashita
  • Kenji Noma
  • Go Kuwata
  • Kahori Miyoshi
  • Kaoru Honaga
Article

Abstract

We report a case of infective endocarditis at the tricuspid valve attributed to central venous catheterization. The patient was a 35-year-old woman who had multiple septic emboli in her lung due to tricuspid valve endocarditis after successful treatment of bronchiolitis obliterans organizing pneumonia. She also had right ileosacral arthritis. The case was closely related to catheter-associated Staphylococcus aureus bacteremia. She was treated with intravenous administration of vancomycin and surgical removal of vegetation and tricuspid valvuloplasty. Since infective endocarditis can be a complication of central venous catheterization with high morbidity and mortality, maximal precautions to minimize the risk, early detection, and appropriate treatment of these complications are mandatory to improve patients’ outcome.

Key words

Pulmonary septic emboli Tricuspid valve Right-sided endocarditis Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia 

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Copyright information

© JSA 2005

Authors and Affiliations

  • Shu-ichi Yamashita
    • 1
  • Kenji Noma
    • 2
  • Go Kuwata
    • 2
  • Kahori Miyoshi
    • 2
  • Kaoru Honaga
    • 2
  1. 1.Division of Emergency MedicineMunicipal and County Hospital of Miyazaki Medical AssociationMiyazakiJapan
  2. 2.Department of Internal MedicineMunicipal and County Hospital of Miyazaki Medical AssociationMiyazakiJapan

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