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A 46-Year -old Intravenous Drug User with Fever


Retrospective studies show that most patients with right-sided infective endocarditis sec- ondary to intravenous drug use present with signs and symptoms of acute infection lasting approximately 1 week, making this disease easy to confuse with pneumonia.


Intravenous drug users are a difficult group of patients to treat with long courses of intra- venous antimicrobials. Our patient successful- ly completed 28 days of intravenous therapy with ceftriaxone (2 g/day infused in the out- patient clinic) with weekly urine toxicology screens (all negative).

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