The Source of Recurrent Bacteremia Identified by Trans-esophageal Echocardiography
Authors: Frederick L. Porkolab
Journal: Annals of Internal Medicine (1990)

Brief Reports15 April 1990The Source of Recurrent Bacteremia Identified by Trans-esophageal EchocardiographyFrederick L. Porkolab, MD, David L. Weinbaum, MD, David B. Lerberg, MD, John C. Phillips, MDFrederick L. Porkolab, MDSearch for more papers by this author, David L. Weinbaum, MDSearch for more papers by this author, David B. Lerberg, MDSearch for more papers by this author, John C. Phillips, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-112-8-628 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPatients with Staphylococcus aureus bacteremia can be divided into two groups (1). Patients in the group with a recognizable primary site of infection tend to be older with significant, underlying medical disorders and recent hospitalizations. These patients are more easily cured. Patients in the other group, with no identifiable site of primary infection, are usually younger, commonly abuse intravenous drugs, and often have endocarditis.Conventional transthoracic echocardiography can help in the positive diagnosis of endocarditis. However, it has limited sensitivity, especially for smaller vegetations. We report the case of a patient whose source of endocarditis was revealed only by trans-esophageal...References1. Nolan C and Beaty H. Staphylococcus aureus bacteremia. Current clinical patterns. Am J Med. 1976;60:495-500. CrossrefMedlineGoogle Scholar2. Currie P. Transesophageal echocardiography. New window to the heart. Circulation. 1989;80:215-7. CrossrefMedlineGoogle Scholar3. Pazin G, Peterson K, Griff F, Shaver J, and Ho M. Determination of site of infection in endocarditis. Ann Intern Med. 1975;82:746-50. LinkGoogle Scholar4. Stewart J, Silimperi D, Harris P, Wise N, Fraker T, and Kisslo J. Echocardiographic documentation of vegetative lesions in infective endocarditis: clinical implications. Circulation. 1980;61:374-80. CrossrefMedlineGoogle Scholar5. Lutas E, Roberts R, Devereaux R, and Prieto L. Relation between the presence of echocardiographic vegetations and the complication rate in infective endocarditis. Am Heart J. 1986;112:107-13. CrossrefMedlineGoogle Scholar6. Seward J, Khandheria B, and Oh J. Transesophageal echocardiography: technique, anatomic correlations, implementation, and clinical applications. Mayo Clin Proc. 1988;63:649-80. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: Frederick L. Porkolab, MD; David L. Weinbaum, MD; David B. Lerberg, MD; John C. Phillips, MDFrom The Western Pennsylvania Hospital, Pittsburgh, Pennsylvania. For current author addresses, see end of text. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEndocarditis Complicating Parenteral Nutrition: The Value of Repeated Echocardiography 15 April 1990Volume 112, Issue 8Page: 628-629KeywordsBacteremiaDrug abuseDrugsEchocardiographyEndocarditisHospital medicineHospitalizationsStaphylococcus aureusSurgery ePublished: 1 December 2008 Issue Published: 15 April 1990 PDF downloadLoading ...