INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER
Background. Injecting drug users are a particular category of patients, where infectious pathology, including infectious endocarditis, is much more common. In Romania, in 2016 there were about 21,000 opioid users (www.ana.gov.ro). Besides opioid drugs, there are also ethnobotanics and a growing tren...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2019-03-01
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| Series: | Romanian Journal of Infectious Diseases |
| Subjects: | |
| Online Access: | https://revistemedicale.amaltea.ro/Romanian_Journal_of_INFECTIOUS_DISEASES/Revista_Romana_de_BOLI_INFECTIOASE-2019-Nr.1/RJID_2019_1_EN_Art-02.pdf |
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| author | Adina A. Nanu Violeta Melinte Simin A. Florescu Adelina Dogaru Emanoil Ceausu Petre I. Calistru |
| author_facet | Adina A. Nanu Violeta Melinte Simin A. Florescu Adelina Dogaru Emanoil Ceausu Petre I. Calistru |
| author_sort | Adina A. Nanu |
| collection | DOAJ |
| description | Background. Injecting drug users are a particular category of patients, where infectious pathology, including infectious endocarditis, is much more common. In Romania, in 2016 there were about 21,000 opioid users (www.ana.gov.ro). Besides opioid drugs, there are also ethnobotanics and a growing trend of injecting amphetamines.
Material and methods. We present the case of a young drug user diagnosed in our hospital with infected
mitral valve infectious endocarditis.
Particularities consist of the type of affected valve and the involvement of a strain of methicillin-sensitive aureus staphylococcus (in a patient with multiple risk factors for infection with multi-resistant strains).
Results. Clinical evolution is with many ups and downs because different complications occur, but after 54
days of hospitasization he is out, then valvular surgery takes place and he returns to our clinic for the antibiotic consolidation treatment.
Conclusions. This is a case of severe infection in an IDU, with many features indicating a posible negative
evolution. Proper antibiotic treatment, associated with other complementary medical interventions, conducted to the favorable uotcome of this young patient. |
| first_indexed | 2024-12-15T00:40:34Z |
| format | Article |
| id | doaj.art-5dc8db0c0eed475e9d9934f6b1b8f8c4 |
| institution | Directory Open Access Journal |
| issn | 1454-3389 2069-6051 |
| language | English |
| last_indexed | 2024-12-15T00:40:34Z |
| publishDate | 2019-03-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Infectious Diseases |
| spelling | doaj.art-5dc8db0c0eed475e9d9934f6b1b8f8c42022-12-21T22:41:40ZengAmaltea Medical Publishing HouseRomanian Journal of Infectious Diseases1454-33892069-60512019-03-01221151810.37897/RJID.2019.1.2INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USERAdina A. Nanu0Violeta Melinte1Simin A. Florescu2Adelina Dogaru3Emanoil Ceausu4Petre I. Calistru5“Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania“Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania“Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania “Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania“Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania“Dr. Victor Babeş” Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania; “Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaBackground. Injecting drug users are a particular category of patients, where infectious pathology, including infectious endocarditis, is much more common. In Romania, in 2016 there were about 21,000 opioid users (www.ana.gov.ro). Besides opioid drugs, there are also ethnobotanics and a growing trend of injecting amphetamines. Material and methods. We present the case of a young drug user diagnosed in our hospital with infected mitral valve infectious endocarditis. Particularities consist of the type of affected valve and the involvement of a strain of methicillin-sensitive aureus staphylococcus (in a patient with multiple risk factors for infection with multi-resistant strains). Results. Clinical evolution is with many ups and downs because different complications occur, but after 54 days of hospitasization he is out, then valvular surgery takes place and he returns to our clinic for the antibiotic consolidation treatment. Conclusions. This is a case of severe infection in an IDU, with many features indicating a posible negative evolution. Proper antibiotic treatment, associated with other complementary medical interventions, conducted to the favorable uotcome of this young patient.https://revistemedicale.amaltea.ro/Romanian_Journal_of_INFECTIOUS_DISEASES/Revista_Romana_de_BOLI_INFECTIOASE-2019-Nr.1/RJID_2019_1_EN_Art-02.pdfinfectious endocarditisinjecting drug usersmitral valvemethicilin-sensitive staphylococcus aureus |
| spellingShingle | Adina A. Nanu Violeta Melinte Simin A. Florescu Adelina Dogaru Emanoil Ceausu Petre I. Calistru INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER Romanian Journal of Infectious Diseases infectious endocarditis injecting drug users mitral valve methicilin-sensitive staphylococcus aureus |
| title | INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER |
| title_full | INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER |
| title_fullStr | INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER |
| title_full_unstemmed | INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER |
| title_short | INFECTIOUS ENDOCARDITIS TO AN INJECTABLE DRUG USER |
| title_sort | infectious endocarditis to an injectable drug user |
| topic | infectious endocarditis injecting drug users mitral valve methicilin-sensitive staphylococcus aureus |
| url | https://revistemedicale.amaltea.ro/Romanian_Journal_of_INFECTIOUS_DISEASES/Revista_Romana_de_BOLI_INFECTIOASE-2019-Nr.1/RJID_2019_1_EN_Art-02.pdf |
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