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KMID : 1149520210050030114
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Cardiovasclar Imaging Asia
2021 Volume.5 No. 3 p.114 ~ p.117
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Right-Sided Infectious Endocarditis and Pulmonary Septic Embolism Associated with Intravenous Drug Use
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Egi Ryuta
Sugi Keiki
Oyama-Suzuki Kyoko
Nakajima Yoshie
Fukushima Kenji
Nakano Shintaro
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Abstract
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Right-sided infective endocarditis (RSIE) is rare, and the diagnosis is challenging due to fewer cardiac symptoms and signs. It is well recognized that intravenous drug users (IDU) are at significantly increased risk for RSIE. Also, RSIE is associated with a broad array of extra-cardiac complications such as metastatic infection and septic embolism. However, the prevalence is significantly higher in Western populations and has rarely been reported in Japan. We report a case of IDU-induced RSIE that was successfully treated with antibiotic therapy. 18F-fluorodeoxyglucose positron emission tomography was useful to evaluate the activity of extra-cardiac complications.
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KEYWORD
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Endocarditis, Pulmonary embolism, 18F fluorodeoxyglucose, Cardiac imaging
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