Right-Sided Endocarditis Secondary to Aeromonas hydrophila: A Case Report
DOI:
https://doi.org/10.54034/mic.e2009Keywords:
endocarditis, aeromonas, aeromonas hydrophila, central venous catheters: fluoroquinolonesAbstract
Right-sided endocarditis represents a distinct clinical condition observed in individuals with a history of parenteral drug use or those with implanted pacemakers or other intracardiac devices. Aeromonas infections, although uncommon in humans, particularly endocarditis cases, are exceedingly rare. Here, we report the case of a 72-year-old female with a medical history of arterial hypertension and chronic kidney disease undergoing hemodialysis via a tunneled permanent central venous catheter. She presented with chills and a fever of 38.3°C. Physical examination revealed a grade 3 protosystolic murmur at the tricuspid focus. Blood cultures from central and peripheral sites yielded growth of Aeromonas hydrophila. Transthoracic echocardiography demonstrated a fusiform, semi-mobile vegetation measuring 16 x 15 mm at the outlet of the superior vena cava, suggestive of endocarditis. Intravenous fluoroquinolones were initiated based on antibiogram results, leading to resolution of imaging findings after a 21-day treatment course.
References
Hellwege RS, Gawaz M. Right-sided infective endocarditis in association with a left-to-right shunt complicated by haemoptysis and acute renal failure: a case report. BMC Cardiovasc Disord 2020; 20(1): 494.
Núñez Guerrero A, Campos Quesada M, Molina Castaño D. Endocarditis infecciosa. Rev Med Sinerg 2021; 6(1): 631.
Casabé JH, Glunta G, Varini S, Barisani JL, Guerchi JP, Luna MA, et al. Consenso de endocarditis infecciosa. Rev Argent Cardiol 2016; 84: 1-49.
Ong KR, Sordillo E, Frankel E. Unusual case of Aeromonas hydrophila endocarditis. J Clin Microbiol 1991; 29(5): 1056-1057.
Shmueli H, Thomas F, Flint N, Setia G, Janjic A, Siegel RJ. Right-Sided Infective Endocarditis 2020: Challenges and Updates in Diagnosis and Treatment. J Am Heart Assoc 2020; 9: e017293.
Liang R, Landry I. Endovascular Endocarditis Within the Superior Vena Cava of a Patient With a Tunneled Catheter for Hemodialysis. Cureus 2022; 14(3): e23027.
Sharifkazemi M, Rezaian G, Hosseininejad E, Arjangzadeh A. Three simple but interesting transthoracic echocardiographic road maps for proximal superior vena cava visualisation in healthy young adults. Int J Cardiol Heart Vasc 2022; 39: 101004.
Pugliese ME, Falcone M, Oliva A, Faccenna F, D'Aluisio D, Morelli S, et al. Aeromonas hydrophila endocarditis with ruptured mycotic aneurysm of right renal artery. Infect Dis Resp 2016; 8(3): 6515.
Hung TW, Lee YT, Chuang ML, Chen GB, Yeo KF, Chen KD. Aeromonas Endocarditis in an intravenous Drug User Patient with Human Immunodeficiency Virus and Hepatitis C Virus Co-infection: A Case Report. J Emerg Crit Care Med 2012; 23(4): 144-151.
Cheong TH, Wang YT, Poh SC. Aeromonas endocarditis in a patient with chronic hepatitis-B infection. Singapore Med J 1989; 30(5): 490-492.
Davis WA, Kane JG, Garagusi VF. HUMAN AEROMONAS INFECTIONS: A REVIEW OF THE LITERATURE AND A CASE REPORT OF ENDOCARDITIS. Medicine 1978; 57(3): 267-277.
Salehi MR, Shadvar S, Sadeghian M, Doomanlou M, Abdollahi A, Manshadi SAD, et al. Endocarditis with Aeromonas salmonicida. IDCases 2019; 18: e00625.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Alexis A. Ponce-Garcia, A. Sofía Torres-Hernandez, Nancy A. Molina-Mendoza, Luis E. Fernandez-Garza

This work is licensed under a Creative Commons Attribution 4.0 International License.