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Thoracic osteomyelitis and eustachian valve endocarditis: a case report and review of the literature
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  • Sheila Hernandez,
  • Maxwell Jabaay,
  • Dario Marotta,
  • Ravitej Goteti,
  • William Hewitt,
  • Arash Velayati
Sheila Hernandez
Southeast Health
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Maxwell Jabaay
Alabama College of Osteopathic Medicine
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Dario Marotta
Alabama College of Osteopathic Medicine
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Ravitej Goteti
Southeast Health
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William Hewitt
Southeast Health
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Arash Velayati
Southeast Health
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Abstract

Infective endocarditis and vertebral osteomyelitis are rare infections, most commonly caused by methicillin-sensitive Staphylococcus aureus (MSSA). The eustachian valve is an embryological remnant of the inferior vena cava that has the potential to harbor a nidus leading to infective endocarditis. Eustachian valve endocarditis has been documented in the literature on less than 50 occasions and has yet to be documented in the presence of concomitant vertebral osteomyelitis. In this case, we present a 43-year-old African American male presenting with vertebral osteomyelitis caused by methicillin-resistant Staphylococcus aureus (MRSA). Persistent bacteremia prompted the identification of a vegetative growth on a eustachian valve remnant. This case helps mend the gap in the literature by documenting the treatment considerations in a patient with eustachian valve endocarditis in the presence of osteomyelitis caused by MRSA.