Antje Michel Bücher

The essay explores the ethical challenges surrounding recurrent infective endocarditis (IE) in intravenous drug abusers. It highlights the serious health risks associated with IE, including stroke and organ damage, and the necessity for aggressive treatment, including surgery and antibiotics. The paper specifically addresses the moral implications of repeatedly performing valve replacements in this patient population, raising questions about resource allocation and the long-term effectiveness of such interventions for those who continue drug use.