Diagnostic Dilemma: Infective Endocarditis in the Setting of an Esophageal Abscess

Transesophageal echocardiography (TEE) is the preferred imaging modality to diagnose infective endocarditis (IE). However, esophageal disease can preclude performing a TEE. We present such a scenario. A patient with an esophageal abscess, methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia...

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Bibliographic Details
Published in:Cureus 2023, Vol.15 (10), p.e47542-e47542
Main Authors: Elmusa, Emad, Muneeb, Ahmad, Raza, Muhammad Waleed, Khokhar, Hassan Tahir, Guzman, Nilmarie
Format: Report
Language:English
Online Access:Get full text
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Description
Summary:Transesophageal echocardiography (TEE) is the preferred imaging modality to diagnose infective endocarditis (IE). However, esophageal disease can preclude performing a TEE. We present such a scenario. A patient with an esophageal abscess, methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia, and septic pulmonary emboli with suspicion for IE based on the modified Duke criteria. However, due to the patient's esophageal abscess, TEE could not be performed safely. We present this case to demonstrate a rare scenario in which a patient with an esophageal abscess also had presumed IE.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.47542