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Drug use-related right-sided infective endocarditis complicated by empyema and bronchopleural fistula

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Right-sided infective endocarditis is frequently accompanied by septic pulmonary emboli, which may result in a spectrum of respiratory complications. We present the case of a 25-year-old woman diagnosed with infective… Click to show full abstract

Right-sided infective endocarditis is frequently accompanied by septic pulmonary emboli, which may result in a spectrum of respiratory complications. We present the case of a 25-year-old woman diagnosed with infective endocarditis secondary to intravenous drug use. During a long and arduous hospital course, the patient developed empyema with bronchopleural fistula, representing severe but uncommon sequelae that may arise from this disease process. She was treated with several weeks of antibiotics as well as surgical thorascopic decortication and parietal pleurectomy.

Keywords: sided infective; right sided; infective endocarditis; drug use; empyema bronchopleural; endocarditis

Journal Title: BMJ Case Reports
Year Published: 2022

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