Drug Addict

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Alessandro Santo Bortone - One of the best experts on this subject based on the ideXlab platform.

  • a strange cough 3d echocardiography for diagnosis of late tricuspid valve endocarditis in a former Drug Addict with septic pulmonary emboli
    International Journal of Cardiology, 2011
    Co-Authors: Natale Daniele Brunetti, Luisa De Gennaro, D P Basile, Emanuela De Cillis, Tommaso Acquaviva, Filippo Boscia, Matteo Di Biase, Alessandro Santo Bortone
    Abstract:

    Tricuspid valve endocarditis (TVE) is not an uncommon finding in intravenous Drug Addicts [1]. TVE with pulmonary septic embolization, however, is a less common finding [2]. Even more rare is the diagnosis of TVE mainly led by pulmonary signs. We report the case of a 40-year-old man, a former intravenous Drug Addict, referred to our institution for recurrent episodes of cough and fever mimicking episodes of pneumonitis since a couple of months. The patient was affected by chronic hepatitis C, without history of heart disease. At previous hospitalization, chest radiograph showed 2 parenchyma nodules within left lung (basal and apical). A pneumonitis was therefore hypothesized and the patient was administrated with levofloxacin and ceftriaxone for 2 weeks, without any symptom relief. At present hospitalization, chest X-ray confirmed the presence of a single nodule in the basal segment of the left lung. Physical examination, however, was unremarkable. Rest ECG showed sinus rhythm at 78 bpm without significant ST anomalies (Fig. 1). Systolic blood pressure was 120/80 mm Hg. Troponin was 0.03 ng/ml and N-terminal pro-brain natriuretic peptide 20.6 pg/ml, while C-reactive

Natale Daniele Brunetti - One of the best experts on this subject based on the ideXlab platform.

  • a strange cough 3d echocardiography for diagnosis of late tricuspid valve endocarditis in a former Drug Addict with septic pulmonary emboli
    International Journal of Cardiology, 2011
    Co-Authors: Natale Daniele Brunetti, Luisa De Gennaro, D P Basile, Emanuela De Cillis, Tommaso Acquaviva, Filippo Boscia, Matteo Di Biase, Alessandro Santo Bortone
    Abstract:

    Tricuspid valve endocarditis (TVE) is not an uncommon finding in intravenous Drug Addicts [1]. TVE with pulmonary septic embolization, however, is a less common finding [2]. Even more rare is the diagnosis of TVE mainly led by pulmonary signs. We report the case of a 40-year-old man, a former intravenous Drug Addict, referred to our institution for recurrent episodes of cough and fever mimicking episodes of pneumonitis since a couple of months. The patient was affected by chronic hepatitis C, without history of heart disease. At previous hospitalization, chest radiograph showed 2 parenchyma nodules within left lung (basal and apical). A pneumonitis was therefore hypothesized and the patient was administrated with levofloxacin and ceftriaxone for 2 weeks, without any symptom relief. At present hospitalization, chest X-ray confirmed the presence of a single nodule in the basal segment of the left lung. Physical examination, however, was unremarkable. Rest ECG showed sinus rhythm at 78 bpm without significant ST anomalies (Fig. 1). Systolic blood pressure was 120/80 mm Hg. Troponin was 0.03 ng/ml and N-terminal pro-brain natriuretic peptide 20.6 pg/ml, while C-reactive

L. Ajello - One of the best experts on this subject based on the ideXlab platform.

Petros Nihoyannopoulos - One of the best experts on this subject based on the ideXlab platform.

K Y Wong - One of the best experts on this subject based on the ideXlab platform.

  • sudden death from ruptured septic myocardial infarct in an intravenous Drug Addict
    Forensic Science International, 1995
    Co-Authors: P Dickens, K Y Wong
    Abstract:

    A case of ruptured septic myocardial infarct with death from cardiac tamponade in an intravenous Drug Addict with left-sided infective endocarditis and septic coronary artery embolism is described. To the best of our knowledge, there is no previous report of such a case in the literature. Although uncommon, infective endocarditis with coronary embolisation is a well-documented cause of myocardial infarction, although not normally associated with ventricular free wall rupture, and should be considered in intravenous Drug Addicts who present with cardiac symptoms and signs of sepsis.