Simone van der Sar – van der Brugge

All Journals from Simone van der Sar – van der Brugge

An unexpected cause of sepsis in a patient with dental decay

A 42-year old man attended our emergency department with sudden onset of nausea, fever and cold sweats. In the days prior to presentation, he had developed a radiating pain in the thoracic spine. Furthermore, he had been suffering from dyspnoea on exertion for several weeks. He was a smoker, but had no significant past medical history.

An unexpected cause of sepsis in a patient with dental decay (Answers)

The patient underwent transthoracic echocardiography which confirmed the presence of a calcified intracardiac mass in the right atrium, with significant tricuspid insufficiency and compression of the left atrium (Figure 2). CT angiography of the thorax revealed the tumour was 7.2x5.3x4.4 cm. Initially, no pulmonary vascular abnormalities were seen.

Please subscribe to see more.
Subscribe
Already a member? Log in here
Shopping Basket
Scroll to Top