Ann Cardiol Cardiovasc Med | Volume 7, Issue 1 | Case Report | Open Access

Complications due to IV-Drug Related Endocarditis

Ahmed F^1*, Gott C¹, Settles D² and Slaughter MS³

¹Department of Anesthesiology, University of Louisville School of Medicine, USA
²Department of Cardiothoracic Anesthesia, University of Louisville School of Medicine, USA
³Department of Cardiothoracic Surgery, University of Louisville School of Medicine, USA

^*Correspondance to: Faizan Ahmed 

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Abstract

Infective endocarditis is a serious condition with the potential for bacteremia, sepsis, and multi-organ failure. This case presents a G4P3 female currently at 27 weeks pregnant with recent intravenous drug use. She presented to the emergency department with abdominal pain, vaginal bleeding, tachycardia, HELLP syndrome, and bilateral 3+ edema. Transthoracic echocardiography revealed an aortic valve vegetation, severe aortic insufficiency, severe mitral regurgitation, a perforation at the base of the anterior mitral valve leaflet, and an echogenic mass on the anterior mitral valve leaflet. She underwent an emergency cesarean section followed by immediate open-heart surgery. Although the patient was appropriately treated with surgery and antibiotics for the causative organism, her hospital course was complicated by cardiogenic shock, septic shock, intracranial hemorrhage, cholecystitis, and altered mental status. Once treated and stabilized, the patient left against medical advice but returned three days later with multi-organ failure. In accordance with her family’s decision, she was transitioned to comfort care only and died shortly thereafter.

Citation:

Ahmed F, Gott C, Settles D, Slaughter MS. Complications due to IV-Drug Related Endocarditis. Ann Cardiol Cardiovasc Med. 2023; 6(1):1050..