Ventricular septal defect and bivalvular endocarditis
A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2015-01-01
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| Series: | Avicenna Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.148507 |
| _version_ | 1818994799769812992 |
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| author | Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet |
| author_facet | Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet |
| author_sort | Kate E Birkenkamp |
| collection | DOAJ |
| description | A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to the mitral valve, a 16 mm × 16 mm mobile mass attached to the pulmonary valve, and a small membranous ventricular septal defect. The patient received 12 weeks of intravenous (IV) antibiotics with eventual resolution of the masses. Multi-valve endocarditis involving both the left and right chambers is rarely reported without prior history of IV drug use or infective endocarditis. Our case emphasizes the importance of careful assessment for ventricular septal defects or extra-cardiac shunts in individuals who present with simultaneous right and left-sided endocarditis. |
| first_indexed | 2024-12-20T21:03:42Z |
| format | Article |
| id | doaj.art-665bb4fe5fa747a7920a138e5c589419 |
| institution | Directory Open Access Journal |
| issn | 2231-0770 2249-4464 |
| language | English |
| last_indexed | 2024-12-20T21:03:42Z |
| publishDate | 2015-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Avicenna Journal of Medicine |
| spelling | doaj.art-665bb4fe5fa747a7920a138e5c5894192022-12-21T19:26:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Avicenna Journal of Medicine2231-07702249-44642015-01-010501212310.4103/2231-0770.148507Ventricular septal defect and bivalvular endocarditisKate E Birkenkamp0Jay J Jin1Raina Shivashankar2Hayan Jouni3Larry M Baddour4Lori A Blauwet5Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USADivision of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USADivision of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USADivision of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USAA 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to the mitral valve, a 16 mm × 16 mm mobile mass attached to the pulmonary valve, and a small membranous ventricular septal defect. The patient received 12 weeks of intravenous (IV) antibiotics with eventual resolution of the masses. Multi-valve endocarditis involving both the left and right chambers is rarely reported without prior history of IV drug use or infective endocarditis. Our case emphasizes the importance of careful assessment for ventricular septal defects or extra-cardiac shunts in individuals who present with simultaneous right and left-sided endocarditis.http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.148507echocardiographyinfective endocarditispulmonary valve endocarditisventricular septal defect |
| spellingShingle | Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet Ventricular septal defect and bivalvular endocarditis Avicenna Journal of Medicine echocardiography infective endocarditis pulmonary valve endocarditis ventricular septal defect |
| title | Ventricular septal defect and bivalvular endocarditis |
| title_full | Ventricular septal defect and bivalvular endocarditis |
| title_fullStr | Ventricular septal defect and bivalvular endocarditis |
| title_full_unstemmed | Ventricular septal defect and bivalvular endocarditis |
| title_short | Ventricular septal defect and bivalvular endocarditis |
| title_sort | ventricular septal defect and bivalvular endocarditis |
| topic | echocardiography infective endocarditis pulmonary valve endocarditis ventricular septal defect |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.148507 |
| work_keys_str_mv | AT kateebirkenkamp ventricularseptaldefectandbivalvularendocarditis AT jayjjin ventricularseptaldefectandbivalvularendocarditis AT rainashivashankar ventricularseptaldefectandbivalvularendocarditis AT hayanjouni ventricularseptaldefectandbivalvularendocarditis AT larrymbaddour ventricularseptaldefectandbivalvularendocarditis AT loriablauwet ventricularseptaldefectandbivalvularendocarditis |