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Target Concepts:
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Query: UMLS:C0014118 (
endocarditis
)
15,629
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Thrombosis in
hemophilia
is very rare and is usually associated with the administration of prothrombin complex concentrates. We describe a severe hemophiliac with P. carinii pneumonia who had clinical and laboratory evidence of acute myocardial infarction and disseminated intravascular coagulation, and at autopsy, nonbacterial thrombotic
endocarditis
as well. We suggest that prothrombin complex concentrates should be used cautiously in the setting of acute infection, and perhaps be given with appropriate doses of anticoagulants such as heparin.
...
PMID:Acute myocardial infarction, non-bacterial thrombotic endocarditis, and disseminated intravascular coagulation in a severe hemophiliac. 222 Jul 67
The use of central venous catheters may be complicated by thrombosis and infection. We report a case of a needle-phobic 5-year-old boy with factor IX deficiency, in whom a portacath was inserted owing to poor compliance with prophylactic treatment. Within a week, he developed a Staphylococcus aureus line infection that was treated with a 2-week course of intravenous antibiotics. One month later he presented with nonspecific symptoms and blood cultures again grew S. aureus. An echocardiogram revealed a large vegetation adherent to the tricuspid valve, confirming the diagnosis of bacterial endocarditis. His clinical course was further complicated by the development of pulmonary emboli. Medical treatment with intravenous antibiotics led to a successful resolution of the
endocarditis
and pulmonary emboli with a favourable long-term outcome.
Haemophilia
2001 Sep
PMID:Bacterial endocarditis in a child with haemophilia B: risks of central venous catheters. 1155 41
Central venous access devices are commonly used in the care of pediatric patients with
hemophilia
. Bacteremia associated with this type of venous access is common. We describe a patient with severe hemophilia A who had development of septic arthritis and
endocarditis
secondary to multiple episodes of bacteremia associated with a central venous access device.
Endocarditis
and septic arthritis in patients with
hemophilia
are rare infectious complications but should be considered in patients with persistent bacteremia.
...
PMID:Bacterial endocarditis and septic arthritis in a patient with severe hemophilia A: a case report. 1941 14