scholarly journals Intravenous Drug Abuse by Patients Inside the Hospital: A Cause for Sustained Bacteremia

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Noopur Goel ◽  
Lubna Bashir Munshi ◽  
Braghadheeswar Thyagarajan

Patients with history of intravenous drug abuse are noted to be at risk of several infections including HIV, endocarditis, and other opportunistic infections. We report the case of a patient with sustainedBacillus cereusbacteremia despite use of multiple antibiotic regimens during his inpatient stay. Our case highlights the importance of high suspicion for active drug use inside the hospital in such patients. This is important in order to minimize unnecessary diagnostic workup and provide adequate treatment and safe hospital stay for these patients.

Cureus ◽  
2017 ◽  
Author(s):  
Ankit Mahajan ◽  
Mohammad Amer ◽  
Ahmad Awan ◽  
Fasil Tiruneh ◽  
Charu Gandotra ◽  
...  

2017 ◽  
Vol 22 (1) ◽  
pp. 31-34
Author(s):  
Michelle L. Hawes ◽  
Kate M. Willegal

Abstract Vascular access specialists are brought into many difficult situations that stretch their ability to provide appropriate care to patients who have complicated medical and personal histories. In the following case, a hospital was challenged to provide appropriate care while remaining responsible and compassionate throughout the duration of infusate delivery.


VASA ◽  
2007 ◽  
Vol 36 (4) ◽  
pp. 279-281 ◽  
Author(s):  
Teebken ◽  
Pichlmaier ◽  
Leinung ◽  
Lenarz ◽  
Haverich

The case of a 24-year-old man with a rupture of the left common carotid artery and history of intravenous drug abuse is presented. Due to absence of a suitable autologous vein segment the carotid bulb was repaired with a human allograft patch.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ho-Man Yeung ◽  
Brijaé Chavarria ◽  
Dariush Shahsavari

While bacteremia due toSerratia marcescensis not uncommon, it rarely causes infective endocarditis. We report an isolated case of a 53-year-old male with history of intravenous drug abuse who presented with multiple acute pain symptoms and was found to haveS. marcescensbacteremia with septic emboli in his spleen, brain, and testes, secondary to a large aortic vegetation, as well as aortic infective endocarditis with severe aortic regurgitation requiring aortic valve replacement. His course of disease was further complicated by epidural and psoas abscesses and a necrotic testicle requiring orchiectomy due to his ongoing intravenous drug abuse. This case is an atypical presentation ofS. marcescensinfection, as he had no overt signs of infection such as fever or significant leukocytosis that are typical of bacteremia, and it also highlights the severity and complicated nature ofS. marcescens-infective endocarditis.


2013 ◽  
Vol 66 (3) ◽  
pp. 285-287 ◽  
Author(s):  
M. Bassetti ◽  
D. Pecori ◽  
A. Sartor ◽  
A. Londero ◽  
G. Villa ◽  
...  

2018 ◽  
Vol 12 (1) ◽  
pp. 28-33
Author(s):  
Anusha Gopinathan ◽  
Anil Kumar ◽  
Amitabh C. Sen ◽  
Srisruthy Sudha ◽  
Praveen Varma ◽  
...  

Introduction: Bacillus cereus is a gram positive bacilli found commonly in the soil and environment. It is a bacteria rarely associated with endocarditis. Case History: Intravenous drug abuse, presence of valvular defects, pacemakers, immunodeficiency are some of the known risk factors for B.cereus endocarditis. We present here a case series of two patients with B.cereus endocarditis along with a review of the literature. Conclusion: This is the first report of B.cereus endocarditis from India to the best of our knowledge.


2021 ◽  
Author(s):  
Jianying Deng ◽  
Junjie Du

Abstract Introduction: Pseudoaneurysm is a complication caused by vascular injury, which is more common in firearm injuries, stab wounds, iatrogenic injuries, etc. Clinically, femoral pseudo-artery caused by intravenous drug abuse is not uncommon, but giant pseudoaneurysms are relatively rare. Case presentation: A 46-year-old man presented with a 6-month history of a pulsating mass in the left groin, which was aggravated with pain for 3 days. The patient has a history of intravenous drug use for more than half a year. Six months ago, the patient found a lump in the left groin, and no special treatment was given.Three days ago, the mass in the patient's left groin suddenly enlarged with severe pain. The patient then came to our hospital for treatment, and ultrasound revealed a pseudoaneurysm in the left femoral artery.CTA of the lower extremity arteries suggested a huge pseudoaneurysm in the left femoral artery. To avoid the rupture of the huge pseudoaneurysm of the left superficial femoral artery, we implemented emergency interventional surgery. The operation was successful and the patient recovered well after the operation.Conclusions: In order to avoid the rupture of a huge pseudoaneurysm of the femoral artery, emergency interventional surgery is an option. However, considering that pseudoaneurysms caused by intravenous drug abuse are often associated with fungal infections, surgery is still the best choice.


Sign in / Sign up

Export Citation Format

Share Document