Multisystem organ failure secondary to Haemophilus parainfluenzae infective endocarditis on an ICD lead: A case report

Am J Emerg Med. 2019 Aug;37(8):1602.e1-1602.e3. doi: 10.1016/j.ajem.2019.05.016. Epub 2019 May 7.

Abstract

Infection of implanted cardiac devices (ICD) is an unusual but life threatening event, rarely caused by Haemophilus parainfluenzae. While clinical presentation varies widely, infective endocarditis (IE) involving an ICD lead requires aggressive resuscitation and a multidisciplinary approach. We present a case of a 33-year-old intravenous drug user who presented in multisystem organ failure secondary to infective endocarditis on an ICD lead. This patient had a complicated hospital course requiring removal of her ICD, highlighting the dramatic presentation of this clinical state.

Keywords: Haemophilus parainfluenzae; ICD lead; Infective endocarditis; Vegetation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Endocarditis, Bacterial / complications*
  • Endocarditis, Bacterial / diagnosis
  • Female
  • Haemophilus Infections / complications*
  • Haemophilus Infections / diagnosis
  • Haemophilus parainfluenzae / isolation & purification*
  • Heart Valve Prosthesis / adverse effects*
  • Humans
  • Multiple Organ Failure / etiology*
  • Prosthesis-Related Infections / diagnosis
  • Substance Abuse, Intravenous / complications