Splenic rupture as a presenting feature of endocarditis

Winearls, James Roger, McGloughlin, Steven and Fraser, John F. (2009) Splenic rupture as a presenting feature of endocarditis. European Journal of Cardio-thoracic Surgery, 35 4: 737-739. doi:10.1016/j.ejcts.2008.12.045

Author Winearls, James Roger
McGloughlin, Steven
Fraser, John F.
Title Splenic rupture as a presenting feature of endocarditis
Journal name European Journal of Cardio-thoracic Surgery   Check publisher's open access policy
ISSN 1010-7940
Publication date 2009-04
Year available 2009
Sub-type Article (original research)
DOI 10.1016/j.ejcts.2008.12.045
Volume 35
Issue 4
Start page 737
End page 739
Total pages 3
Place of publication Netherlands
Publisher Elsevier BV
Collection year 2010
Language eng
Subject C1
1102 Cardiovascular Medicine and Haematology
Abstract We describe the first case of infective endocarditis presenting with spontaneous splenic rupture. Our patient, a known intravenous drug user presented with hypovolaemic shock secondary to splenic rupture. The patient was resuscitated and underwent an emergency splenectomy. Subsequent clinical examination revealed a systolic murmur and a diagnosis of mitral valve infective endocarditis was made after echocardiography. Splenic tissue, blood cultures and mitral valve tissue all cultured Enterococcus faecalis. The patient had a successful mitral valve replacement and was discharged home after 44 days. To our knowledge this is the first reported case of enterococcal endocarditis presenting with splenic rupture. This case highlights the need to consider endocarditis in spontaneous splenic rupture particularly in those patients in a high risk group, such as IV drug users, especially if they lack a clear history of trauma. Crown Copyright © 2009.
Keyword Enterococcal endocarditis
Enterococcus faecalis
Infective endocarditis
Splenic rupture
Q-Index Code C1
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 3 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 5 times in Scopus Article | Citations
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Created: Mon, 19 Apr 2010, 12:08:57 EST by Lisa Hennell on behalf of Faculty Of Health Sciences