Diagnostics and treatment of recurrent endocarditis - case report

Infective endocarditis is an inflammation of the inner surface of the heart, which is most commonly caused by bacteria and may lead to severe complications. A 44-year-old male patient was admitted due to suspected recurrent infective endocarditis (IE). The patient had a history of infections with St...

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Bibliographic Details
Published in:Progress in health sciences 2024-06, Vol.14 (1), p.50-55
Main Authors: Ożga, Joanna, Raczko, A., Stępień, A., Kostkiewicz, M., Holcman, K.
Format: Article
Language:English
Subjects:
Antibiotics
Bacterial infections
Blood
Cardiology
Care and treatment
Case reports
CT imaging
Dermatitis
Development and progression
Diagnostic imaging
Disease prevention
Endocarditis
Fever
Health aspects
Heart
Heart enlargement
Hospitalization
Infection
Infections
Infective endocarditis
Inflammation
Leukocytes
Medical examination
Methicillin
Microorganisms
Patients
Proteins
Scintigraphy
Sepsis
Septic shock
Staphylococcus aureus
Staphylococcus aureus infections
Tomography
Vegetation
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Summary:Infective endocarditis is an inflammation of the inner surface of the heart, which is most commonly caused by bacteria and may lead to severe complications. A 44-year-old male patient was admitted due to suspected recurrent infective endocarditis (IE). The patient had a history of infections with Staphylococcus aureus etiology in 2014, 2015, and 2018, including IE affecting the mitral valve, sepsis after a dental procedure and septic shock. On examination, the patient presented a diastolic murmur 4/6 (Levine Scale) over the apex of the heart. The enlargement of the left atrium and left ventricle was detected in the transthoracic echocardiogram. Laboratory tests revealed elevation of the C-reactive protein and the presence of Methicillin-sensitive Staphylococcus aureus in blood culture. The patient was treated with vancomycin. Single photon emission tomography and computed tomography with technetium-99m-hexamethyl propylene amino-oxime-labeled leukocytes (99mTc- HMPAO-SPECT/CT) were performed, revealing no abnormalities.Patients with the first incident of endocarditis are at risk of recurrence and of developing additional complications. Early diagnosis and treatment of infective endocarditis are vital.
ISSN:2083-1617
2083-6260
DOI:10.5604/01.3001.0054.6315