Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis

The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infecti...

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Autores principales:	Mason Montano, Kevin Lee, Kushal Patel, Mutsumi Kioka
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/dc5a713d69de412a8212abb589bbe322
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spelling	oai:doaj.org-article:dc5a713d69de412a8212abb589bbe3222021-11-29T00:56:51ZSeptic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis2090-643910.1155/2021/7050775https://doaj.org/article/dc5a713d69de412a8212abb589bbe3222021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/7050775https://doaj.org/toc/2090-6439The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infective endocarditis (IE), defined as tricuspid or pulmonary valve lesions. Pneumothorax (PTX) has been observed as a rare complication of SPE and is commonly associated with infective right-sided IE, IVDU, and intravascular indwelling catheters. However, this case is novel as it is the very rare documented case of recurrent, unilateral, spontaneous right PTX refractory to multiple chest tube placements in such a setting. Therefore, the absence of detectable right-sided valvular vegetation in IE does not obviate the risk of SPE-induced PTX in IVDU and further expands the realm of infectious and pulmonary consequences of SPE and IVDU.Mason MontanoKevin LeeKushal PatelMutsumi KiokaHindawi LimitedarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCase Reports in Critical Care, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Mason Montano Kevin Lee Kushal Patel Mutsumi Kioka Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
description	The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infective endocarditis (IE), defined as tricuspid or pulmonary valve lesions. Pneumothorax (PTX) has been observed as a rare complication of SPE and is commonly associated with infective right-sided IE, IVDU, and intravascular indwelling catheters. However, this case is novel as it is the very rare documented case of recurrent, unilateral, spontaneous right PTX refractory to multiple chest tube placements in such a setting. Therefore, the absence of detectable right-sided valvular vegetation in IE does not obviate the risk of SPE-induced PTX in IVDU and further expands the realm of infectious and pulmonary consequences of SPE and IVDU.
format	article
author	Mason Montano Kevin Lee Kushal Patel Mutsumi Kioka
author_facet	Mason Montano Kevin Lee Kushal Patel Mutsumi Kioka
author_sort	Mason Montano
title	Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
title_short	Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
title_full	Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
title_fullStr	Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
title_full_unstemmed	Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis
title_sort	septic pulmonary embolism causing recurrent pneumothorax in an intravenous drug user without right-sided valvular vegetation in infective endocarditis
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/dc5a713d69de412a8212abb589bbe322
work_keys_str_mv	AT masonmontano septicpulmonaryembolismcausingrecurrentpneumothoraxinanintravenousdruguserwithoutrightsidedvalvularvegetationininfectiveendocarditis AT kevinlee septicpulmonaryembolismcausingrecurrentpneumothoraxinanintravenousdruguserwithoutrightsidedvalvularvegetationininfectiveendocarditis AT kushalpatel septicpulmonaryembolismcausingrecurrentpneumothoraxinanintravenousdruguserwithoutrightsidedvalvularvegetationininfectiveendocarditis AT mutsumikioka septicpulmonaryembolismcausingrecurrentpneumothoraxinanintravenousdruguserwithoutrightsidedvalvularvegetationininfectiveendocarditis
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Septic Pulmonary Embolism Causing Recurrent Pneumothorax in an Intravenous Drug User without Right-Sided Valvular Vegetation in Infective Endocarditis

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