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Right and Left Ventricle Thrombus in a 68-Year-Old Patient With Sepsis and Cardiomyopathy.
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February 2025
Cardiology, Bahman University Hospital, Beirut, LBN.
Right ventricular thrombus (RVT) is a rare but clinically significant condition associated with severe complications, such as pulmonary embolism and right heart failure. This case report presents a 68-year-old woman with a history of diabetes, coronary artery disease, and heart failure with reduced ejection fraction (HFrEF), who developed bilateral ventricular thrombi in the context of septic cardiomyopathy secondary to a diabetic foot infection and a urinary tract infection (UTI). Echocardiography revealed thrombi in both the right and left ventricles, severe global hypokinesia, and reduced ejection fraction.
View Article and Find Full Text PDFStroke related to infections represents a less common but significant cause, particularly in low- and middle-income countries. This review examines the pathophysiology of stroke from infections, involving both direct and indirect mechanisms. Bacterial infections such as tuberculous meningitis and infective endocarditis can directly cause strokes through local inflammation, arteritis, and septic embolism.
View Article and Find Full Text PDFA Rare Presentation of Lemierre's Syndrome Caused by an Atypical Occurrence of Eikenella corrodens.
Cureus
February 2025
Nephrology, Georgetown University, Washington, D.C., USA.
Lemierre's syndrome is characterized by a septic inflammatory condition involving internal jugular veins and is frequently caused by an oropharyngeal infection. While it usually results in pulmonary embolization, this case demonstrates a rare but significant cerebral embolization. The case involves an 18-year-old woman who experienced left-sided neck swelling and difficulty swallowing five days after a tooth extraction, an uncommon trigger.
View Article and Find Full Text PDFScientia et Cura: Illuminating the Dark Side of CRRT for Optimal Patient Benefits.
Iran J Kidney Dis
February 2025
Division of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Introduction: Continuous Renal Replacement Therapy (CRRT) is commonly used in patients with hemodynamic instability but is associated with potential complications. Understanding these complications can improve CRRT efficiency and patient outcomes.
Methods: This cross-sectional study investigated CRRT complications in patients > 18 years old who underwent CRRT at a tertiary medical center from 2017 to 2022.
Tricuspid Endocarditis Leading to a Stroke: A Case Report of Paradoxical Embolism in a Young Intravenous Drug User.
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January 2025
Internal Medicine, McLaren Greater Lansing, Lansing, USA.
Infective endocarditis (IE) involving the tricuspid valve is commonly associated with intravenous drug use, with right-sided IE typically leading to septic pulmonary emboli; however, systemic embolization via paradoxical embolism is a rare and severe complication. We present a case of a 33-year-old female with a history of intravenous drug use who was admitted with generalized pain after leaving another facility against medical advice following treatment for pneumonia and tricuspid valve endocarditis, including vegetation debulking. On readmission, she exhibited signs of infection, and imaging revealed bilateral septic pulmonary emboli with cavitary lesions, while echocardiography showed severe tricuspid regurgitation with large mobile vegetation and an aneurysmal interatrial septum, suggesting a probable patent foramen ovale.
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