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Acinetobacter Endocarditis Presenting as a Large Right Atrial Mass: An Atypical Presentation
Author(s) -
BhaganBruno Sherrita,
Lather Navneet,
Fergus Icilma V.
Publication year - 2010
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.2009.01127.x
Subject(s) - medicine , endocarditis , intracardiac injection , acinetobacter calcoaceticus , surgery , catheter , case presentation , cardiology , hemodialysis , antibiotics , acinetobacter , microbiology and biotechnology , biology
This paper discusses a 26‐year‐old woman with end‐stage renal disease on hemodialysis and Acinetobacter calcoaceticus‐baumannii complex endocarditis. The patient had an indwelling right internal jugular catheter that was probably the nidus of infection. Transthoracic echocardiogram revealed an atypical presentation of the endocarditis as a large intracardiac mass, measuring in centimeters and occupying more than 50% of the right atrial cavity. The mass was attached to the lateral wall of the right atrium without valvular involvement. The patient was treated with prompt removal of the indwelling catheter, intravenous antibiotics, and surgical resection of the mass with an uneventful recovery. A literature search for cases of “Acinetobacter endocarditis” reveals this as the first case reported of Acinetobacter endocarditis presenting in this manner. (Echocardiography 2010;27:E39‐E42)