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Case Report
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| Right sided endocarditis secondary to prolonged intravenous cannulation | ||||||
| Godsent Isiguzo1,2, Collins Ugwu1, Uma Kalu1, Ndudi Obeka1,3, Basil Ezeokpo1,3 | ||||||
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1Department of Medicine, Federal teaching hospital Abakaliki, Ebonyi State, Nigeria.
2Clinical trial research Unit, Groote Schuur Hospital, Department of Medicine, University of Cape Town, South Africa. 3College of Medicine, Ebonyi State University, Nigeria. | ||||||
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| How to cite this article |
| Isiguzo G, Ugwu C, Kalu U, Obeka N, Ezeokpo B. Right sided endocarditis secondary to prolonged intravenous cannulation. Int J Case Rep Images 2016;7(11):714–719. |
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Abstract
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Introduction:
Infective endocarditis still remains a burden in sub-Saharan Africa, due mainly to varied etiologies such as underlying rheumatic valvular heart disease, and HIV infection. Another often overlooked but seen risk factor is prolonged intravenous cannulation. In some cases, these are unnecessary and under unhygienic conditions, predisposing the unfortunate patients to right sided endocarditis. We present a case of tricuspid valve endocarditis secondary to prolonged intravenous cannulation.
Case Report: The index patient was 24-year-old female with four previous pregnancies, being treated for pulmonary tuberculosis. Following history of amenorrhea, she was erroneously diagnosed to have ectopic pregnancy, and was offered laparotomy, with prolonged intravenous cannulation. Few weeks later she developed features of heart failure, and echocardiography showed massive right sided endocarditis, but while on evaluation she had sudden death while in the toilet from most likely pulmonary embolism. Conclusion: There is need to discourage prolonged intravenous access in resource poor settings while not underplaying the need to strive for best practices. At the same time there is need for manpower development in cardiovascular disease intervention so as to mitigate against prevent able cardiovascular mortality. | |
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Keywords:
Infective endocarditis, Prolonged intravenous cannulation
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Author Contributions
Godsent Isiguzo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Collins Ugwu – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Uma Kalu – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Ndudi Obeka – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Basil Ezeokpo – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Godsent Isiguzo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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