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 Why humans should not eat broom straws: Pericarditis and endocarditis

William Edward Novotny1, Cynthia P Keel2
1 Department of Pediatrics, East Carolina University, Brody School of Medicine, Greenville, NC, USA
2 Vidant Medical Center, Pediatric Intensive Care Unit, Greenville, NC, USA

Correspondence Address:
Dr. William Edward Novotny
Department of Pediatrics, East Carolina University, Brody School of Medicine, Greenville, NC 27834
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_194_19

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Year : 2020  |  Volume : 13  |  Issue : 2  |  Page : 144-146

 
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A broom straw was ingested and penetrated the esophageal wall, the pericardial space and its tip became lodged in the coronary sinus. Bacterial pericarditis and then fungal endocarditis ensued but were temporally separated by an asymptomatic 6-month period. On transthoracic echocardiography, the straw was mistakenly identified to be a “prominent Thebesian valve.” This child survived both life-threatening infections. The occurrence of infections caused by unusual organisms in the setting of immunocompetence highlights the need for a high index of suspicion for the presence of a causative foreign body.






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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008

 

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William Edward Novotny1, Cynthia P Keel2
1 Department of Pediatrics, East Carolina University, Brody School of Medicine, Greenville, NC, USA
2 Vidant Medical Center, Pediatric Intensive Care Unit, Greenville, NC, USA

Correspondence Address:
Dr. William Edward Novotny
Department of Pediatrics, East Carolina University, Brody School of Medicine, Greenville, NC 27834
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_194_19

Rights and Permissions

A broom straw was ingested and penetrated the esophageal wall, the pericardial space and its tip became lodged in the coronary sinus. Bacterial pericarditis and then fungal endocarditis ensued but were temporally separated by an asymptomatic 6-month period. On transthoracic echocardiography, the straw was mistakenly identified to be a “prominent Thebesian valve.” This child survived both life-threatening infections. The occurrence of infections caused by unusual organisms in the setting of immunocompetence highlights the need for a high index of suspicion for the presence of a causative foreign body.






[FULL TEXT] [PDF]*


        
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 Whats new | Sitemap | Feedback | Copyright and Disclaimer
 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008