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|Title:||Corynebacterium diphtheriae-infective endocarditis in a patient with an atrial septal defect closure device.|
|Affiliation:||Department of General Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia..|
Department of General Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Department of Infectious Disease, Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
Department of Cardiology, Royal Darwin Hospital, Tiwi, Northern Territory, Australia..
|Citation:||BMJ case reports 2019-05-09; 12(5)|
|Abstract:||An 18-year-old woman presented to our institution with fever, bilateral flank pain, headache and photophobia. She had a previous atrial septal defect (ASD) closure device inserted at the age of 9 years. Blood cultures on admission were positive for Corynebacterium diphtheriae, and transoesophageal echocardiogram (TOE) revealed an echodensity associated with the ASD closure device, most consistent with a vegetation. She was treated for infective endocarditis with 6 weeks of intravenous benzylpenicillin, and follow-up TOE showed resolution of the echodensity. To our knowledge, no cases of C. diphtheriaeendocarditis of an ASD closure device have previously been reported.|
clinical diagnostic tests
|Appears in Collections:||NT Health digital library|
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