Discussions By Condition: Heart conditions

Endocarditis from Cellulitis

Posted In: Heart conditions 11 Replies
  • Posted By: Anonymous
  • June 17, 2006
  • 04:58 AM

My husband fvisited the ER and was diagnosed with cellulitis and put on antibiotics. Two months later her suddenly died. His organs were put up for transplant and they discovered "bacteria in the heart valves" which I am assuming is endocarditis. Could this have been prevented from his ER visit?

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11 Replies:

  • Seashells: There are a lot of medical questions here. Different states have different requirements as far as what is a medical examiner's case. There usually is a point after an ER visit that then ends in a death that must be reviewed. Was his? Was an autopsy preformed? Did he have heart history? Most importantly what was the listed cause of death? Did it relate to the cellulitis? A complete medical record review might point to problems in the ER visit or problems subsequently. Was he admitted to the hospital and then died there?
    Anonymous 42,789 Replies Flag this Response
  • His death was not reviewed to the best of my knowledge. He had an autopsy that listed two occluded arteries as the cause of death and later found about the endocarditis from the Organ bank. Trying to get in touch with the pathologist but he has not called back yet. He was not admitted to the hospital. He died suddenly and quickly about two months later. There were not able to bring him back at all. I was not with him for his Cellulitis ER visit. Can I as a spouse request his hospital records from them. I am a medical transcriptionist so understand some. Thanks for any help.
    Anonymous 42,789 Replies Flag this Response
  • Seashells: You should be able to get his medical records. Also get all the ER records (they are usually separate so ask specific). Also ask for the medical records for when he was brought in when he died. The abmbulance records would also be important. If the autopsy showed occluded arteries and that was the cause of death then that is what would be argued how he died. Still an interesting case. See what the records lead to.
    Anonymous 42,789 Replies Flag this Response
  • Thanks. Trying to work through my grief but realizing this might not have been what I thought it was. Will work on obtaining his records this week and will let you know what I find out!
    Anonymous 42,789 Replies Flag this Response
  • You also, should get all records of drugs that was prescribed to him from local pharmacy that filled his prescriptions. Also, get all xrays, MRI, and other exams that was done on him... blood work test, uriane samples, computer records of medical exams; medical admission paperwork from hospital.... My wife died from endcortias 1 year ago; she was midiagnosied too... Royce_Fowler@hotmail.com. LOL:)
    Anonymous 42,789 Replies Flag this Response
  • Legally, lowest standard of medical care is all that is required!A family member was also diagnosed with facial Cellulitis and given amoxocillian for 10 days. His BP 138/40, headaches, vision, fever, night sweats.He also had been receiving cortisone treatment elsewhere for three years 6-8 weeks apart. The doctor did not put him in a higher risk catagory due to the cortisone shots so no blood or urine testing was done for the Cellulitis. Patient was told to follow up if he felt worse BUT he felt better and the facial sore went away. Patient misinterrupts this as being healed.About two months later he he suffered a stroke secondary to subaccute endocarditis from a strep blood infection.He had a heart valve replacement which revealed the the bacterial infection had been going on long before the Cellulitis.So much devastation could have been prevented with further analysis of his blood which would have determined the Cellulitis came from a brewing strep infection. Seems so simple.However, the doctor had covered his bases when he told him to seek medical attention if it got worse. He did, in the ER!
    Anonymous 42,789 Replies
    • August 27, 2007
    • 11:22 PM
    • 0
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  • Your Scaring Me . I Have Cellulits On /in My Scalp . They Gave Me Bactruim Been On It For One Day .it Hurts So Much!!! Any Suggestions???
    Anonymous 42,789 Replies
    • September 16, 2007
    • 00:45 AM
    • 0
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  • Careful follow-up of the patient to determine infection is completely gone.
    Anonymous 42,789 Replies
    • September 24, 2007
    • 06:37 PM
    • 0
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  • I think endocarditis is a complication from facial cellulitis. I don't think amoxicillian is the correct therapy for facial cellulitis especially with the steroids. This could possibly have made it worse.
    Anonymous 42,789 Replies
    • November 8, 2007
    • 01:22 AM
    • 0
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  • These situations are positively disturbing especially since medical intervention was sought. They clearly indicate that infection should be taken very seriously by both medical staff and patients.Please, be on notice that Cellulitis especially on the face should be treated as a dermatologic emergency and all patients should be carefully followed. Otherwise, serious complications could result and in these cases did.Secondary bacterial infections may occur. Therefore, ALL patients must be monitored to be sure the cellulitis resolves satisfactorily. Some patients may very well need more aggressive treatment.
    Anonymous 42,789 Replies
    • November 15, 2007
    • 08:44 PM
    • 0
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  • My wife was also diagnosed with cellulitis (on her face) and given oral antibiotics. Two months later she had a embolic stroke. She survived it with a miracle but was paralized and severely brain damaged. She was diagnosed with sub accute endocarditis and given heavy duty iv antibiotics for 6 weeks for the bacterial infection in her blood before her heart valve replacment. She is now going to her third outpatient therapy and a year and a half later I am finally coming to grips with the mess that started with what was presented to us as a simple diagnosis of cellulitis. I live daily with sorrow and guilt for not knowing cellulitis can have severe complications if the blood is also infected and correct medication is not given.But isn't it the professional doctor who should be doing that? Should'nt he have informed us of what to look for in complications? If he had to walk in my caregiving shoes for just one week, I am sure he wouldn't forget or be in such a hurry to get the appointment over next time.
    Anonymous 42,789 Replies
    • February 26, 2008
    • 10:53 PM
    • 0
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