Key result
Cardiac auscultation after Streptococcus mitis bacteremia detects PDA successfully treated with transcatheter closure.
Case Report (n=1)
Careful cardiac auscultation in patients with bacteremia can lead to the diagnosis of underlying congenital heart defects like patent ductus arteriosus.
Answers are grounded in this paper and cite their sources.
Careful auscultation may uncover occult PDA in adult bacteremia; leaves open whether routine exam alters IE outcomes.
A 40-year-old woman visited our emergency room (ER) with fever and shaking chills. Blood cultures for suspicion of urinary tract infection revealed bacteremia two days later. Since Streptococcus mitis was detected, infective endocarditis was strongly suspected. In addition to her history of dental calculus removal, careful cardiac auscultation revealed a continuous murmur, leading to the existence of patent ductus arteriosus (PDA). PDA was confirmed by echocardiography and 3D-CT angiography. The patient was successfully treated by antibiotics and then received transcatheter PDA closure. Careful auscultation after detection of bacteremia led to a diagnosis of PDA.
No takes yet. Share an insight, caveat, or question.
Kadoya et al. (2014) conducted a case report in Bacteremia and Patent Ductus Arteriosus (n=1). Careful cardiac auscultation and transcatheter PDA closure was evaluated on Diagnosis and treatment of patent ductus arteriosus. Careful cardiac auscultation after detection of Streptococcus mitis bacteremia led to the diagnosis of patent ductus arteriosus, which was successfully treated with antibiotics and transcatheter closure.
Synapse has enriched 10 related papers. Consider them for comparative context: