Case Rep Crit Care 2021 20;2021:7050775. Epub 2021 Nov 20.
University of Nevada, Las Vegas, Kirk Kerkorian School of Medicine, Department of Critical Care and Pulmonary Medicine, 1701 W. Charleston Blvd., Suite 230, Las Vegas, NV 89012, USA.
The following report illustrates a case of a 36-year-old Caucasian male with intravenous drug use (IVDU) induced septic thrombophlebitis presenting with recurrent unilateral pneumothoraces from septic pulmonary embolism (SPE) without the presence of obvious right-sided valvular vegetation in infective endocarditis (IE), defined as tricuspid or pulmonary valve lesions. Pneumothorax (PTX) has been observed as a rare complication of SPE and is commonly associated with infective right-sided IE, IVDU, and intravascular indwelling catheters. However, this case is novel as it is the very rare documented case of recurrent, unilateral, spontaneous right PTX refractory to multiple chest tube placements in such a setting. Read More