Right sided endocarditis secondary to prolonged intravenous cannulation

Basil Ezeokpo,Collins Ugwu,Godsent Isiguzo,Ndudi Obeka,Uma Kalu

doi:10.5348/ijcri-2016124-cr-10712

Abstract

Introduction: Infective endocarditis still remains a burden in sub-Saharan Africa, due mainly to varied etiologies such as underlying rheumatic valvular heart disease, and HIV infection. Another often overlooked but seen risk factor is prolonged intravenous cannulation. In some cases, these are unnecessary and under unhygienic conditions, predisposing the unfortunate patients to right sided endocarditis. We present a case of tricuspid valve endocarditis secondary to prolonged intravenous cannulation. Case Report: The index patient was 24-year-old female with four previous pregnancies, being treated for pulmonary tuberculosis. Following history of amenorrhea, she was erroneously diagnosed to have ectopic pregnancy, and was offered laparotomy, with prolonged intravenous cannulation. Few weeks later she developed features of heart failure, and echocardiography

Highlights

Incidence of double malignancy has increased significantly
Renal cell cancer or Breast Cancer as second primaries are reported in the literature, but synchronous carcinoma breast with renal cell carcinoma is extremely rare
We are reporting a case of carcinoma breast with synchronous renal cell carcinoma

Summary

Introduction

Incidence of double malignancy (synchronous or metachronous) has increased significantly. Case Report: A 38-year-old female was investigated for a lump in right breast. Right MRM and right radical nephrectomy were done for synchronous carcinoma breast and renal cell. Of Radiation Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India; 2DNB, Senior Resident, Dept. Of Radiation Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India; 3MD, Of Medical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India; 4MS, Sr. Consultant, Dept. Of Surgical Oncology, Bhagwan Mahaveer Cancer Hospital & Research Centre, Jaipur, Rajasthan, India; 5MD, Associate Professor, Dept. Synchronous carcinoma breast with renal cell carcinoma: A case report.

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