Endocarditis
In support of
The Steinhaus Family
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The Steinhaus Family
Last night I brought Andrew to the ER, and we were admitted to our home-away-from-home onc floor around 5am. Andrew had been extremely fatigued all day. I went with him to his outpatient appointment in the morning where they gave him two units of platelets and a unit of whole blood because in addition to low platelets, his hemoglobin was at 7. He also had a nosebleed that wouldn’t stop—it would end up bleeding for about 14 hours.
I’d felt like something was off while we were in clinic, but nothing was wrong enough to keep him or send him to the hospital. His fatigue was attributed to low platelets and low white blood cells, etc. His temperature hit 99 once or twice (you have to check vitals repeatedly while giving blood products) but mostly stayed in the 97-98 range.
Around 6pm I started thinking he was getting a fever. By the time we left home for the hospital at 8:30pm, it was over 101. To me, the entire day mirrored the series of events that led to the sepsis diagnosis in June.
They were able to stop his nosebleed in the ER, and the fever came down. His troponin—a lab often associated with heart attack when elevated but can suggest other issues stressing the heart—was high and trending higher. An echo this morning showed a new vegetation on his heart that is highly suspicious for endocarditis. He’s on broad spectrum antibiotics until we learn more.
He also tested positive for rhinovirus, which is typically just a cold, but it could be affecting him more due to compromised immune system. So there are a number of factors that could have contributed to the fever last night. Getting a whole blood infusion for the first time could have done it too. In all likelihood, the endocarditis is responsible for all of it except the nosebleeds.
Andrew is very fatigued and mostly sleeping. Thanks to those of you who have already messaged him. He isn’t looking at his phone but will when he feels more alert.
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Deb Long
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Chris Reynolds
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