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Injection drug induced septic embolism-A growing concern
Michael Kelson1, Asaad Chaudhry1, Andrew Nguyen1
1Department of Medical Sciences, Hackensack Meridian School of Medicine, 123 Metro Boulevard, Nutley, NJ 07110, USA.
Radiology Case Reports
|October 3, 2022
Summary
Septic pulmonary embolism, often linked to intravenous drug use, can be diagnosed using modified Duke criteria and imaging. This case highlights rare pulmonary valve endocarditis and its association with rising opioid use.
Area of Science:
- Cardiology
- Infectious Diseases
- Pulmonology
Background:
- Septic pulmonary embolism involves infected thrombus obstructing pulmonary vasculature, frequently linked to cardiac origins in intravenous drug users.
- The condition typically presents with fever, chest pain, dyspnea, and cough, necessitating diagnostic tools like modified Duke criteria for infective endocarditis evaluation.
Observation:
- A 36-year-old male with a history of drug abuse and hepatitis C presented with an isolated vegetation on the pulmonic valve.
- The patient experienced a rapidly deteriorating clinical course.
Findings:
- Diagnosis was confirmed via echocardiogram and computed tomography, revealing septic pulmonary embolism.
- The patient improved with supportive care and antibiotics over two weeks.
Implications:
- This case underscores the uncommon occurrence of pulmonary valve involvement in infective endocarditis.
- It highlights the correlation between increased septic pulmonary emboli and the rise in injectable opioid use in the United States.
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