AccScience Publishing / BH / Volume 1 / Issue 2 / DOI: 10.36922/bh.1005
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CASE REPORT

Operative treatment for umbilical venous catheter-related Staphylococcus aureus infective endocarditis with subsequent septic thrombosis: A case report

Cassandra DeVol1 Christopher M. McDaniel2 Nupur Singh3 Pilar Anton Martin4*
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1 Division of Pediatric Cardiology, University of Tennessee Health Science Center/Le Bonheur Children’s Hospital, Memphis, TN, USA
2 Division of Internal Medicine, Baptist Memorial Hospital-DeSoto, Memphis, TN, USA
3 Department of Medical Education, College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
4 Division of Anesthesia and Critical Care Medicine, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Brain & Heart 2023, 1(2), 1005 https://doi.org/10.36922/bh.1005
Submitted: 26 May 2023 | Accepted: 25 July 2023 | Published: 23 August 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

especially with the increasing use of indwelling catheters. In some cases, surgical excision becomes imperative to ensure adequate source control and mitigate the burden of infection. Herein, we present a compelling case involving a term neonate who developed refractory Staphylococcus aureus infective endocarditis, followed by septic emboli due to a thrombus associated with a malpositioned indwelling umbilical venous catheter (UVC). Thrombosis and infective endocarditis resolved after surgical resection, a 6-week course of antibiotics, and anticoagulation therapy for 3 months. This case report highlights the risk of thrombosis arising from malpositioned UVCs, the potential complications, and the treatment options.

Keywords
Umbilical venous catheter
Infective endocarditis
Septic embolism
Newborn
Neonate
Funding
None.
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Conflict of interest
The authors declare no conflicts of interest.
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Brain & Heart, Electronic ISSN: 2972-4139 Published by AccScience Publishing