Coagulase‐Negative Staphylococcus Endocarditis Restricted to the Normal Pulmonic Valve in a Patient with End‐Stage Renal Disease: Case Report and Review

Hussain, K. M. A.; Kabins, Sherwin A.; Lieb, David C.; Chandna, Harish; Denes, Pablo

doi:10.1086/517752

Cited by 3 publications

(1 citation statement)

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“…The main predisposing factors for pulmonic valve endocarditis in adults are intravenous drug abuse in 30% of cases, central venous catheters (including Swan-Ganz™ catheters) in 14%, and alcoholism in 11% [4,5]. Isolated pulmonic valve endocarditis has also been identified in patients undergoing chronic HD, orthotopic liver transplantation, and celiac disease [6][7][8][9]. Many cases of pulmonic valve endocarditis are unsuspected and become evident only after confirmatory echocardiogram or at autopsy.…”

Section: Discussionmentioning

confidence: 99%

Isolated Pulmonic Valve Infective Endocarditis: A Persistent Challenge

2004

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Isolated pulmonic valve infective endocarditis is an uncommon clinical entity. We report our experience with three patients diagnosed with pulmonic valve endocarditis from our institution. Two cases were caused by Enterococcus faecalis (one was resistant to vancomycin) and one by coagulase-negative staphylococci (CNS). One of the cases of isolated pulmonic valve endocarditis due to the E. faecalis was nosocomially acquired; the case of CNS pulmonic valve endocarditis was dialysis catheter related. Each patient with isolated pulmonic valve endocarditis presented with hypotension and interstitial pulmonary infiltrates. Two patients were treated with linezolid. Both vancomycin-resistant enterococci (VRE) and CNS were eliminated from blood cultures on linezolid therapy. The challenges inherent in the management of pulmonic valve endocarditis mandate the development of individual patient-specific guidelines.

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