Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report
<i>Abiotrophia defectiva</i> is a rare agent of endocarditis and subacute presentation may delay the diagnosis. We present the case of a 41-year-old male who was admitted to the hospital for further investigation regarding a consumptive syndrome with microcytic anaemia. Past medical hist...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/11/1/22 |
| _version_ | 1827604440523210752 |
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| author | Catarina Faria Renato Guerreiro Sofia Cruz Marco Fernandes |
| author_facet | Catarina Faria Renato Guerreiro Sofia Cruz Marco Fernandes |
| author_sort | Catarina Faria |
| collection | DOAJ |
| description | <i>Abiotrophia defectiva</i> is a rare agent of endocarditis and subacute presentation may delay the diagnosis. We present the case of a 41-year-old male who was admitted to the hospital for further investigation regarding a consumptive syndrome with microcytic anaemia. Past medical history included new-onset mitral insufficiency followed by an ischaemic stroke due to small vessel disease. Thoraco-abdominal computed tomography revealed a splenic infarction. In the presence of two ischaemic events associated with mitral valve disease of unknown aetiology, we considered the possibility of subacute endocarditis. Blood cultures were positive for <i>Abiotrophia defectiva</i>, and transoesophageal echocardiography confirmed the diagnosis. As a subacute presentation of endocarditis, the paucity of symptoms caused a five-month delay in diagnosis. New-onset valvular disease and a stroke in an otherwise healthy young patient should always prompt proper investigation. This case highlights several complications caused by septic emboli of undiagnosed and untreated endocarditis. |
| first_indexed | 2024-03-09T05:59:36Z |
| format | Article |
| id | doaj.art-3b4a73f96ee94f0db6055c3eb2443f4c |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-09T05:59:36Z |
| publishDate | 2021-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-3b4a73f96ee94f0db6055c3eb2443f4c2023-12-03T12:10:14ZengMDPI AGClinics and Practice2039-72832021-03-0111116216610.3390/clinpract11010022Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case ReportCatarina Faria0Renato Guerreiro1Sofia Cruz2Marco Fernandes3Internal Medicine, Hospital São Francisco Xavier—Centro Hospitalar Lisboa Ocidental, 1449-005 Lisbon, PortugalInternal Medicine, Hospital São Francisco Xavier—Centro Hospitalar Lisboa Ocidental, 1449-005 Lisbon, PortugalInternal Medicine, Hospital Vila Franca de Xira, 2600-009 Vila Franca de Xira, PortugalInternal Medicine, Hospital São Francisco Xavier—Centro Hospitalar Lisboa Ocidental, 1449-005 Lisbon, Portugal<i>Abiotrophia defectiva</i> is a rare agent of endocarditis and subacute presentation may delay the diagnosis. We present the case of a 41-year-old male who was admitted to the hospital for further investigation regarding a consumptive syndrome with microcytic anaemia. Past medical history included new-onset mitral insufficiency followed by an ischaemic stroke due to small vessel disease. Thoraco-abdominal computed tomography revealed a splenic infarction. In the presence of two ischaemic events associated with mitral valve disease of unknown aetiology, we considered the possibility of subacute endocarditis. Blood cultures were positive for <i>Abiotrophia defectiva</i>, and transoesophageal echocardiography confirmed the diagnosis. As a subacute presentation of endocarditis, the paucity of symptoms caused a five-month delay in diagnosis. New-onset valvular disease and a stroke in an otherwise healthy young patient should always prompt proper investigation. This case highlights several complications caused by septic emboli of undiagnosed and untreated endocarditis.https://www.mdpi.com/2039-7283/11/1/22subacute endocarditis<i>Abiotrophia defectiva</i>septic emboli |
| spellingShingle | Catarina Faria Renato Guerreiro Sofia Cruz Marco Fernandes Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report Clinics and Practice subacute endocarditis <i>Abiotrophia defectiva</i> septic emboli |
| title | Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report |
| title_full | Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report |
| title_fullStr | Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report |
| title_full_unstemmed | Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report |
| title_short | Mitral Valve Subacute Endocarditis Caused by Abiotrophia Defectiva: A Case Report |
| title_sort | mitral valve subacute endocarditis caused by abiotrophia defectiva a case report |
| topic | subacute endocarditis <i>Abiotrophia defectiva</i> septic emboli |
| url | https://www.mdpi.com/2039-7283/11/1/22 |
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