Eustachian valve endocarditis: Rare case reports and review of literature

Eustachian valve endocarditis (EVE) is a distinctly rare and underdiagnosed entity. We report 2 new cases caused by vancomycin resistant Staphylococcus aureus and Staphylococcus hominis diagnosed on transesophageal echocardiography (TEE). Although, 63% of Eustachian valve endocarditis is caused by S...

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Bibliographic Details
Published in:Journal of cardiovascular disease research 2011-07, Vol.2 (3), p.181-185
Main Authors: Alreja, Gaurav, Lotfi, Amir
Format: Article
Language:English
Subjects:
Antibiotics
Bacteria
Blood pressure
Clinical Case Report Based Study
Diagnosis
Echocardiography
Endocarditis
Eustachian valve
Older people
Physiological aspects
Staphylococcus aureus
transesophageal
vancomycin
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Summary:Eustachian valve endocarditis (EVE) is a distinctly rare and underdiagnosed entity. We report 2 new cases caused by vancomycin resistant Staphylococcus aureus and Staphylococcus hominis diagnosed on transesophageal echocardiography (TEE). Although, 63% of Eustachian valve endocarditis is caused by Staphylococcus aureus, we report the first case of vancomycin resistant Staphylococcus aureus and first case related to implantable venous access systems. EVE is now seen more commonly in elderly population with diverse microbial cultures and antibiotic sensitivities. TTE is the first modality for investigation of EVE, however a negative TTE does not preclude the diagnosis, as only 88% of cases were diagnosed on TEE.
ISSN:0975-3583
0976-2833
DOI:10.4103/0975-3583.85266