Author + information
- Kunal Mishra,
- Cameron Cu,
- Mehran Abolbashari,
- Jorge D. Guerra,
- Sclaudia Didia,
- Chandra Prakash Ojha and
- Haider Alkhateeb
Salmonella foodborne infections have been well described. Cardiac complications of Salmonella, including Infective Endocarditis (IE) however are very rare.
50-year-old Hispanic male presented with chest pain, fever & septic shock. Troponin & ECG were unremarkable. Patient was started on empiric antibiotics. Blood cultures grew Salmonella species serotype H&O. TEE confirmed aortic valve vegetation.
Patient denied contact with feces-contaminated food or water with no obvious source of infection and negative immunodeficiency work-up. Therefore, we started looking for other sources of infection. Upon further history taking, patient was found to be regularly consuming dried rattlesnake meat preparations, a rather common practice in the Chihuahua desert region. Surgery was not indicated, and patient was treated with 6 weeks of intravenous antibiotics.
Ingestion of rattlesnake meat has been previously studied in populations residing in the United States- Mexico border region. Few case reports have shown a link between consuming rattlesnake meat with Salmonella bacteremia. We are describing a unique case of Salmonella IE in a patient ingesting rattlesnake meat. This case presents an opportunity for physicians to recognize rare sources of IE by looking deep into cultural exposures and practices.
Posters Hall_Hall A
Sunday, March 29, 2020, 12:30 p.m.-1:15 p.m.
Session Title: FIT Clinical Decision Making: Valvular Heart Disease 5
Abstract Category: Valvular Heart Disease
Presentation Number: 1328-310
- 2020 American College of Cardiology Foundation