Open AccessSuccessful treatment of an acute infective endocarditis secondary to fish bone penetrating into left atrium caused by Granulicatella adiacens and Candida albicans
Author(s) -
Ya Ling Tong,
Ting Qu,
Xu Jia,
Nai Yun Chen,
Mei Yang
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000009185
Subject(s) - medicine , infective endocarditis , endocarditis , candida albicans , microbiology and biotechnology , left atrium , surgery , biology , atrial fibrillation
Rational: Infective endocarditis caused by a foreign body of the upper digestive tract is rare. We report a rare case of Granulicatella adiacens and Candida albicans coinfection acute endocarditis combined with systematic embolization caused by a fish bone from the esophagus penetrating into the left atrium. Patient concern: A 42-year-old woman was admitted to our hospital because of fever, abdominal pain, headache, and right limb weakness. Diagnoses: Clinical examination indicated endocarditis and systemic embolisms secondary to a fish bone from the esophagus penetrating into the left atrium. The emergency surgery confirmed the diagnosis. Cultures of blood and vegetation show G adiacens and C albicans . Interventions: Antimicrobial therapy lasted 6 weeks after surgery. Outcomes: The patient was discharged with excellent condition7 weeks after hospitalization and was well when followed 6 months later. Lessons: The successful treatment of this patient combines quick diagnosis, timely surgery, and effective antimicrobial regimen. This rare possibility should be kept up in mind in acute infective endocarditis cases.