ABSTRACT
We present 1 case of right sided endocarditis caused by Fusobacterium nucleatum in a patient with intravenous drug addiction and human immunodeficiency. The clinical features were fever, anemia, and pulmonary embolism. The echocardiogram showed a giant vegetation originated from the right atrial wall prolapsing in diastole into the right ventricle which disappeared after the patient presented pulmonary embolism. The clinical course was uncontrolled with empiric antimicrobial therapy but it was good with metronidazol. The cases previously described in the literature caused by gram-negative anaerobic bacteria are discussed and compared with the present case.
Subject(s)
Endocarditis, Bacterial/diagnosis , Fusobacterium Infections/diagnosis , Adolescent , Anti-Bacterial Agents/therapeutic use , Drug Therapy, Combination , Echocardiography , Endocarditis, Bacterial/drug therapy , Endocarditis, Bacterial/microbiology , Female , Fusobacterium/isolation & purification , Fusobacterium Infections/drug therapy , Fusobacterium Infections/microbiology , HIV Seropositivity/complications , Humans , Substance Abuse, Intravenous/complicationsABSTRACT
We present the case of a female patient with tuberculosis of the gallbladder, the adipose tissue and lymph nodes surrounding the common bile duct; the patient presented with obstructive jaundice. We discuss the diagnostic criteria, approach to the biliary tract and treatment of this type of patients.
