Endocarditis: a case series with review on atypical presentations of infective endocarditis

Authors

  • Danish E. Department of Medicine, Government Medical College, Kozhikode, Kerala, India
  • K. G. Sajeeth Kumar Department of Medicine, Government Medical College, Kozhikode, Kerala, India
  • Shilpa M. Manuel Department of Medicine, Government Medical College, Kozhikode, Kerala, India
  • Prashanth Paulose Department of Medicine, Government Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20230362

Keywords:

Infective endocarditis, Anterior mitral leaflet, Non-bacterial thrombotic endocarditis, Right sided infective endocarditis, Trans-oesophageal echo, Left sided infective endocarditis

Abstract

Infective endocarditis is a well-known clinical entity. However, despite improved diagnostic techniques and advances in treatment options, clinical heterogeneity of infective endocarditis sometimes prevents rapid recognition, correct diagnosis and timely treatment which are very essential to reduce morbidity and mortality associated with this disease. We herein present a case series of seven patients who presented to Government Medical College, Kozhikode during the period 2018-2022 with atypical presentations of infective endocarditis.

References

Osler W. The Gulstonian lectures on malignant endocarditis. Lancet. 1885;I:415-8.

Horimoto K, Kubo T, Matsusaka H, Baba H, Umesue M. Right-sided infective endocarditis with a ruptured sinus of Valsalva and multiple septic pulmonary emboli in a patient with atopic dermatitis. Int Med. 2015;54(7):797-800.

Varona J, Guerra J. Tricuspid valve endocarditis in a nonaddicted patient without predisposing myocardiopathy. Revista Espanola de Cardiologia. 2004;57:993-6.

Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC Guidelines for the management of infective endocarditis: the task force for the management of infective endocarditis of the European Society of Cardiology (ESC). Eur Heart J. 2015;36:3075-128.

Evangelista A, Gonzalez-Alujas MT. Echocardiography in infective endocarditis. Heart. 2004;90:614-7.

Baraboutis I.G, Tsagalou EP, Johnson S, Lepenski JL, Papakonstantinou I, Skoutelis JL. Primary staphylococcus aureus urinary tract infection: the role of undetected haematogenous seeding of the urinary tract. Eur J Clin Microbiol Infect Dis. 2010;29:1095-10.

Baddour L, Wilson W, Bayer A, Fowler V, Tleyjeh I. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications. Circulation. 2019;15:132.

Roldan CA, Tolstrup K, Macias L, Qualls CR, Maynard D, Charlton G, et al. Libman-sacks endocarditis: Detection, characterization, and clinical correlates by three-dimensional trans-oesophageal echocardiography. J Am Soc Echocardiogr. 2015;28:770-9.

Pericas JM, Corredoira J, Moreno A. Relationship between enterococcus endocarditis and colorectal neoplasm: preliminary results from a cohort of 154 patients. Revista Espanola de Cardiologia. 2017;70(6):451-8.

Miller PM, Frank EB, Fischer RA. Enterococcal endocarditis in association with cancer of the colon: report of a case and review of the literature. J Am Osteopath Assoc. 1985;85(11):751-3.

O’Boyle CJ, Macfie J, Mitchell CJ, Johnstone D, Sagar PM, Sedman PC. Microbiology of bacterial translocation in humans. Gut. 1998;42(1):29-35.

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Published

2023-02-22

Issue

Section

Case Series