ABSTRACT
The risk of infectious endocarditis is higher for intravenous drug users than for patients with either rheumatic disease or valve prostheses. We report the case of a 33-year-old woman who self-administered opioid drugs parenterally and who developed a clinical picture of infectious endocarditis. Serious involvement of the tricuspid valve developed in the form of vegetation requiring surgical repair, during which transesophageal echocardiography was used for perioperative monitoring.
Subject(s)
Echocardiography, Transesophageal , Endocarditis, Bacterial/surgery , Heart Valve Prosthesis Implantation , Monitoring, Intraoperative/methods , Staphylococcal Infections/surgery , Tricuspid Valve Insufficiency/surgery , Adult , Endocarditis, Bacterial/diagnostic imaging , Endocarditis, Bacterial/etiology , Female , Humans , Methadone/therapeutic use , Staphylococcal Infections/etiology , Substance Abuse, Intravenous/complications , Substance Abuse, Intravenous/drug therapy , Tricuspid Valve Insufficiency/diagnostic imaging , Tricuspid Valve Insufficiency/etiologyABSTRACT
El riesgo de endocarditis infecciosa entre los consumidores de drogas por vía intravenosa es superior al que pudieran presentar los pacientes afectados de enfermedad reumática o prótesis valvulares. Presentamos el caso de una mujer de 33 años de edad, consumidora de opiáceos por vía parenteral, que presentó cuadro de endocarditis infecciosa con importante afección de la válvula tricúspide en forma de gran vegetación que requirió tratamiento quirúrgico reparador, durante el cual se realizó monitorización perioperatoria mediante ecocardiografía transesofágica (AU)
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