التفاصيل البيبلوغرافية
| العنوان: |
Managing Recurrent Endocarditis in Substance Use Disorder: The Role of Civil Commitment and Comprehensive Care. |
| المؤلفون: |
Drvar, Thomas B., Shychuck, Emma M., Chhor, Behroz, Mayle, Lauren, Marshalek, Patrick, Wanhong Zheng |
| المصدر: |
American Journal of Case Reports; 1/2/2025, Vol. 26, p1-5, 5p |
| مصطلحات موضوعية: |
MEDICAL personnel, INFECTIVE endocarditis, SUBSTANCE abuse relapse, MEDICAL care, OPIOID abuse, TRICUSPID valve surgery |
| مستخلص: |
Objective: Unusual clinical course Background: The incidence of drug-induced infectious endocarditis is rapidly rising in the United States. Healthcare providers face different challenges in the management of infectious endocarditis in persons who inject drugs, including addiction relapse, non-compliance with treatment, and the associated social stigma. These factors collectively complicate the management of drug-induced endocarditis, requiring comprehensive strategies that address both the medical condition and the underlying substance use disorder, as well as socio-behavioral aspects of patient care. Case Report: We present a case of a 33-year-old woman diagnosed with opioid use disorder and a history of tricuspid valve replacement who was transferred from a local emergency room to a general hospital for septic shock secondary to recurrent drug-induced infectious endocarditis. Psychiatry was consulted on day 13 of the admission after the patient was deemed, "not to be a surgical candidate" for second cardiac valve surgery because of a history of non-compliance and a high risk of drug relapse. Throughout her 4-month inpatient hospitalization, she received multiple forms of voluntary and involuntary treatment. The psychiatry consultation/liaison service played a significant role in the patient's care. She successfully engaged in multiple modalities of treatment that led to undergoing a second heart valve surgery. Conclusions: This case highlights the importance of a multidisciplinary approach in management of infectious endocarditis in persons who inject drugs. The use of a civil commitment can allow for the provision of substance use disorder treatment and optimal medical care to an individual who may have lost hope and have temporarily impaired mental faculties. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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