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Complex case of COVID-19 and infective endocarditis.
Alizadeh, Katrin; Bucke, Danielle; Khan, Sadia.
  • Alizadeh K; Haematology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK katrin.alizadeh@nhs.net.
  • Bucke D; Medicine, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
  • Khan S; Cardiology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep ; 14(8)2021 Aug 03.
Article in English | MEDLINE | ID: covidwho-1341315
ABSTRACT
A 50-year-old man with no medical history of note presented with new onset of confusion and dyspnoea. He tested positive for coronavirus (COVID-19), and subsequently, was admitted to the intensive care unit due to severe sepsis and acute renal failure requiring haemodialysis. Shortly afterwards, he was intubated due to haemodynamic instability. His blood culture was positive for Staphylococcus aureus bacteraemia, and echocardiogram showed evidence of vegetation in the aortic valve area. He was commenced on intravenous antibiotics for infective endocarditis (IE). Following extubation, he underwent an MRI of the spine due to increasing back pain. This was suggestive of L5-S1 discitis, likely secondary to septic emboli from IE. A few days later, he developed acute ischaemia of the left toes and extensive thrombosis of the right cubital and left iliac veins. Following a prolonged hospital admission, he was discharged home and later underwent an elective forefoot amputation from which he made a good recovery.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Staphylococcal Infections / Bacteremia / Endocarditis / Endocarditis, Bacterial / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242205

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Staphylococcal Infections / Bacteremia / Endocarditis / Endocarditis, Bacterial / COVID-19 Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Year: 2021 Document Type: Article Affiliation country: Bcr-2021-242205