Abstract
A 21-year-old collegiate wrestler was admitted to the hospital suffering from acute left lower quadrant abdominal pain. Blood cultures taken at the time of admission showed Staphylococcus aureus. The results of a computed tomography scan and a two-dimensional echocardiogram were consistent with a diagnosis of infective endocarditis. Therapy consisted of a 14-day hospitalization, a 28-day course of parenteral antibiotics, and subsequent follow-up visits. He returned to full participation in wrestling after 15 weeks.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bayliss R., Clarke C., Oakley C. M., Somerville W., Whitfield A. G., Young S. E. The microbiology and pathogenesis of infective endocarditis. Br Heart J. 1983 Dec;50(6):513–519. doi: 10.1136/hrt.50.6.513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Belongia E. A., Goodman J. L., Holland E. J., Andres C. W., Homann S. R., Mahanti R. L., Mizener M. W., Erice A., Osterholm M. T. An outbreak of herpes gladiatorum at a high-school wrestling camp. N Engl J Med. 1991 Sep 26;325(13):906–910. doi: 10.1056/NEJM199109263251302. [DOI] [PubMed] [Google Scholar]
- Buda A. J., Zotz R. J., LeMire M. S., Bach D. S. Prognostic significance of vegetations detected by two-dimensional echocardiography in infective endocarditis. Am Heart J. 1986 Dec;112(6):1291–1296. doi: 10.1016/0002-8703(86)90362-5. [DOI] [PubMed] [Google Scholar]
- Kaye D. Changing pattern of infective endocarditis. Am J Med. 1985 Jun 28;78(6B):157–162. doi: 10.1016/0002-9343(85)90378-x. [DOI] [PubMed] [Google Scholar]
- Latham R. H. Medical therapy versus early surgical intervention in patients with endocarditis and vegetations seen on echocardiography. South Med J. 1991 Nov;84(11):1347–1351. doi: 10.1097/00007611-199111000-00013. [DOI] [PubMed] [Google Scholar]
- Lederman M. M., Sprague L., Wallis R. S., Ellner J. J. Duration of fever during treatment of infective endocarditis. Medicine (Baltimore) 1992 Jan;71(1):52–57. doi: 10.1097/00005792-199201000-00005. [DOI] [PubMed] [Google Scholar]
- McKinsey D. S., Ratts T. E., Bisno A. L. Underlying cardiac lesions in adults with infective endocarditis. The changing spectrum. Am J Med. 1987 Apr;82(4):681–688. doi: 10.1016/0002-9343(87)90001-5. [DOI] [PubMed] [Google Scholar]
- Weinstein L., Schlesinger J. J. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (first of two parts). N Engl J Med. 1974 Oct 17;291(16):832–837. doi: 10.1056/NEJM197410172911609. [DOI] [PubMed] [Google Scholar]