IDCases (Jan 2020)

Cotton fever resulting in Enterobacter asburiae endocarditis

  • Munib J. Francis,
  • Justin Chin,
  • Christine M. Lomiguen,
  • Allison Glaser

DOI
https://doi.org/10.1016/j.idcr.2019.e00688
Journal volume & issue
Vol. 19

Abstract

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“Cotton fever” is described as a self-limiting illness following “cotton shooting,” the practice of injecting residual drugs extracted from previously used cotton filters. Cases of related Enterobacter agglomerans bacteremia have been described. We report the first described case of cotton fever in a patient resulting in Enterobacter asburiae endocarditis. Keywords: Cotton fever, Bacteremia, Enterobacter, Endocarditis, Injection drug use, Withdrawal