Abstract |
We describe two patients with alcoholic cirrhosis in whom staphylococcal right-sided endocarditis developed after insertion of a peritoneovenous shunt (PVS). Massive pulmonary embolism caused early death in one patient. In the other patient, staphylococcal septicemia was cured after shunt removal and antibiotic treatment; recurrent endocarditis due to Corynebacterium xerosis ultimately caused the patient's death. No clinical manifestation of tricuspid valve dysfunction was noted in either patient, and right-sided endocarditis was recognized only at autopsy. The protracted contact of the tip of the venous line of PVS with the atrial wall is likely to be a major factor in the development of right-sided endocarditis in these patients.
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Authors | D Valla, E A Pariente, C Degott, B Fabiani-Saloff, J Bernuau, B Rueff, J P Benhamou |
Journal | Archives of internal medicine
(Arch Intern Med)
Vol. 143
Issue 9
Pg. 1801-2
(Sep 1983)
ISSN: 0003-9926 [Print] United States |
PMID | 6615106
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Corynebacterium Infections
(etiology)
- Endocarditis, Bacterial
(etiology)
- Humans
- Male
- Peritoneovenous Shunt
(adverse effects)
- Vascular Surgical Procedures
(adverse effects)
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