000			02786nam a22003857a 4500
008			200210s20192019 xxu||||| |||| 00| 0 eng d
022			_a2000-9666
024			_a10.1080/20009666.2019.1684424 [doi]
024			_a1684424 [pii]
024			_aPMC6968256 [pmc]
040			_aOvid MEDLINE(R)
099			_a32002157
245			_aE. coli endocarditis of the tricuspid valve.
251			_aJournal of Community Hospital Internal Medicine Perspectives. 9(6):495-498, 2019.
252			_aJ Community Hosp Intern Med Perspect. 9(6):495-498, 2019.
253			_aJournal of community hospital internal medicine perspectives
260			_c2019
260			_fFY2020
265			_sepublish
266			_d2020-02-10
520			_aInfective endocarditis (IE) is a focus of infection which effects the endocardium, specifically the heart valves or intra-cardiac devices. A 64-year-old male with gastric carcinoma and no prior cardiac history presented to the emergency room with altered mental status. Initial investigations showed the patient had a leukocytosis with a left shift. Blood cultures taken upon arrival eventually grew Esherichia coli, thought to be from the urinary tract, although initial urinalysis was delayed until after initiation of antibiotics. Electrocardiogram showed sinus bradycardia with frequent premature atrial contractions. Chest X-Ray showed bilateral pleural effusions, which were eventually drained and found to be growing E. coli. Transthoracic echocardiogram was done which showed moderate-sized tricuspid valve vegetation with severe tricuspid regurgitation. IE has been increasing in incidence throughout the years. In prior decades IE was a disease primarily affecting patients with known rheumatic heart disease, prosthetic heart valves, and intravenous drug abusers however more commonly it is becoming healthcare acquired. E. coli is not often seen to be a culprit of IE. We present a rare case of E. coli endocarditis of a native tricuspid valve. Copyright (c) 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedstar Franklin Square Medical Center
656			_aMedicine
656			_aMedStar Health Baltimore Residents
657			_aCase Reports
700			_aAllugubelli, Navya
700			_aKanwal, Arjun
700			_aMuganlinskaya, Nargiz
790			_aAllugubelli N, Kanwal A, Kaplan J, Muganlinskaya N
856			_uhttps://dx.doi.org/10.1080/20009666.2019.1684424 _zhttps://dx.doi.org/10.1080/20009666.2019.1684424
858			_yKanwal, Arjun _uhttps://orcid.org/0000-0002-6370-289X _zhttps://orcid.org/0000-0002-6370-289X
942			_cART _dArticle
999			_c11325 _d11325