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Endocarditis complicating home hyperalimentation.

J E Gatti, N Reichek, J L Mullen

    Archives of Surgery (Chicago, Ill. : 1960)
    |July 1, 1981
    PubMed
    Summary
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    Catheter sepsis from home intravenous hyperalimentation (IVH) can lead to serious heart infections. Early echocardiography aids in diagnosing and treating endocarditis, preventing cardiac damage.

    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Medical Devices

    Background:

    • Catheter sepsis is a rare but serious complication of intravenous hyperalimentation (IVH).
    • Patients receiving home IVH via Silastic catheters are at risk.
    • Parenteral nutrition creates an environment conducive to endocarditis.

    Observation:

    • A case of Enterococcus endocarditis affecting the tricuspid valve is presented.
    • The patient was receiving home IVH through a Silastic catheter.
    • Two-dimensional echocardiography was used for early diagnosis.

    Findings:

    • Early recognition of endocarditis was achieved using two-dimensional echocardiography.
    • Successful treatment involved catheter removal and intravenous antibiotic therapy.

    Related Experiment Videos

  • Right atrial catheter reflections can complicate echocardiographic interpretation.

    • Implications:

    • Routine echocardiography is recommended upon documenting catheter sepsis.
    • Early diagnosis and treatment can prevent invasive cardiac infection and injury.
    • This approach is crucial for managing patients with home IVH and potential catheter-related infections.