A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound

Introduction: As the prevalence of patients with left ventricular assist devices (LVAD) presenting to the emergency department (ED) increases, clinicians must be aware of LVAD-associated infections. Case Report: A well-appearing, 41-year-old male with history of heart failure status post prior-LVAD...

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Main Authors: Nicholas Bielawa, Allison Cohen, Milan Patel, Brendon Stankard, Mathew J. Nelson
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2023-05-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/21k1g21m
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author Nicholas Bielawa
Allison Cohen
Milan Patel
Brendon Stankard
Mathew J. Nelson
author_facet Nicholas Bielawa
Allison Cohen
Milan Patel
Brendon Stankard
Mathew J. Nelson
author_sort Nicholas Bielawa
collection DOAJ
description Introduction: As the prevalence of patients with left ventricular assist devices (LVAD) presenting to the emergency department (ED) increases, clinicians must be aware of LVAD-associated infections. Case Report: A well-appearing, 41-year-old male with history of heart failure status post prior-LVAD placement presented to the ED for swelling of his chest. What appeared initially as a superficial infection was further assessed with point-of-care ultrasound and found to represent a chest wall abscess involving the driveline, ultimately resulting in sternal osteomyelitis and bacteremia. Conclusion: Point-of-care ultrasound should be considered an important tool in the initial assessment of potential LVAD-associated infection.
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spelling doaj.art-de6c1a451fc04f6d8acd90e2a05c6b032023-06-07T18:52:53ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2023-05-017210.5811/cpcem.1403cpcem-7-89A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care UltrasoundNicholas BielawaAllison CohenMilan PatelBrendon StankardMathew J. NelsonIntroduction: As the prevalence of patients with left ventricular assist devices (LVAD) presenting to the emergency department (ED) increases, clinicians must be aware of LVAD-associated infections. Case Report: A well-appearing, 41-year-old male with history of heart failure status post prior-LVAD placement presented to the ED for swelling of his chest. What appeared initially as a superficial infection was further assessed with point-of-care ultrasound and found to represent a chest wall abscess involving the driveline, ultimately resulting in sternal osteomyelitis and bacteremia. Conclusion: Point-of-care ultrasound should be considered an important tool in the initial assessment of potential LVAD-associated infection.https://escholarship.org/uc/item/21k1g21m
spellingShingle Nicholas Bielawa
Allison Cohen
Milan Patel
Brendon Stankard
Mathew J. Nelson
A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
Clinical Practice and Cases in Emergency Medicine
title A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
title_full A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
title_fullStr A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
title_full_unstemmed A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
title_short A Case Report of a LVAD Driveline Infection Diagnosed by Point-of-care Ultrasound
title_sort case report of a lvad driveline infection diagnosed by point of care ultrasound
url https://escholarship.org/uc/item/21k1g21m
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