Bacterial endocarditis masked by COVID‑19: A case report

Infective endocarditis represents a rare complication among patients infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2); it is often a nosocomial infection and the symptomatology can be masked by respiratory failure symptoms from SARS-CoV-2 bronchopneumonia. Management of pat...

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Bibliographic Details
Published in:Experimental and therapeutic medicine 2022-02, Vol.23 (2), Article 186
Main Authors: Bajdechi, Mircea, Vlad, Nicoleta Dorina, Dumitrascu, Mirela, Mocanu, Elena, Dumitru, Irina Magdalena, Cernat, Roxana Carmen, Rugina, Sorin
Format: Article
Language:English
Subjects:
Antibiotics
Cardiac arrhythmia
Cardiovascular disease
Case reports
Case studies
Coronaviruses
COVID-19 vaccines
Diabetes
Diagnosis
Disease prevention
Endocarditis
Endocarditis, Bacterial
Etiology
Heart failure
Immunization
Infections
Infectious diseases
Intensive care
Laboratories
Medical diagnosis
Myocarditis
Pandemics
Patients
Pneumonia
Pulmonary embolisms
Respiratory failure
Risk factors
Severe acute respiratory syndrome coronavirus 2
Viral infections
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Summary:Infective endocarditis represents a rare complication among patients infected with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2); it is often a nosocomial infection and the symptomatology can be masked by respiratory failure symptoms from SARS-CoV-2 bronchopneumonia. Management of patients with severe forms of SARS-COV-2 infection who also have associated infective endocarditis is very difficult, especially in mono-specialty hospitals (such as infectious diseases hospitals) where access to cardiological investigations is limited. The current study presents the case of a 73-year-old woman with increased cardiovascular risk (high blood pressure, diabetes mellitus and obesity), with uninvestigated ischaemic heart disease, who was admitted to the Department of Infectious Diseases in the Clinical Infectious Diseases Hospital (Constanta, Romania) due to SARS-CoV-2. Although the evolution was initially favorable, the condition of the patient significantly deteriorated on the 14th day of hospitalization due to the development of Enterococcus faecium infective endocarditis. Despite the therapy, the evolution was fulminant. Infection with coronavirus disease 2019 can result in numerous comorbidities, which cause higher mortality rates than in the general population.
ISSN:1792-0981
1792-1015
DOI:10.3892/etm.2021.11109