Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. Th...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Greater Baltimore Medical Center
2015-12-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://www.jchimp.net/index.php/jchimp/article/view/29689/pdf_46 |
| _version_ | 1797966061271777280 |
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| author | Chidozie Charles Agu Divya Salhan Ahmed Bakhit Hiba Basheer Md Basunia Bikash Bhattarai Vikram Oke Marie Frances Schmidt Alix Dufresne |
| author_facet | Chidozie Charles Agu Divya Salhan Ahmed Bakhit Hiba Basheer Md Basunia Bikash Bhattarai Vikram Oke Marie Frances Schmidt Alix Dufresne |
| author_sort | Chidozie Charles Agu |
| collection | DOAJ |
| description | We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. There was no history of IV drug use and urine toxicology was negative. EKG showed Mobitz type II AV block and a transesophageal echocardiogram revealed no valve ring or septal abscesses. The heart block persisted despite antibiotic therapy and an epicardial pacemaker was placed. This is a rare presentation of high-grade AV block with tricuspid endocarditis in the absence of echocardiographic evidence of perivalvular extension of infection. Also, unique in this case is the finding of E. faecalis hematogenous vertebral osteomyelitis. |
| first_indexed | 2024-04-11T02:08:41Z |
| format | Article |
| id | doaj.art-b25b49abfde3494bb80224e6f603f414 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:08:41Z |
| publishDate | 2015-12-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-b25b49abfde3494bb80224e6f603f4142023-01-03T02:32:21ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662015-12-01561510.3402/jchimp.v5.2968929689Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature reviewChidozie Charles Agu0Divya Salhan1Ahmed Bakhit2Hiba Basheer3Md Basunia4Bikash Bhattarai5Vikram Oke6Marie Frances Schmidt7Alix Dufresne8Interfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAInterfaith Medical Center, Brooklyn, NY, USAWe present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. There was no history of IV drug use and urine toxicology was negative. EKG showed Mobitz type II AV block and a transesophageal echocardiogram revealed no valve ring or septal abscesses. The heart block persisted despite antibiotic therapy and an epicardial pacemaker was placed. This is a rare presentation of high-grade AV block with tricuspid endocarditis in the absence of echocardiographic evidence of perivalvular extension of infection. Also, unique in this case is the finding of E. faecalis hematogenous vertebral osteomyelitis.http://www.jchimp.net/index.php/jchimp/article/view/29689/pdf_46tricuspid valve endocarditisMobitz type II AV blockEnterococcus faecalisvertebral osteomyelitis |
| spellingShingle | Chidozie Charles Agu Divya Salhan Ahmed Bakhit Hiba Basheer Md Basunia Bikash Bhattarai Vikram Oke Marie Frances Schmidt Alix Dufresne Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review Journal of Community Hospital Internal Medicine Perspectives tricuspid valve endocarditis Mobitz type II AV block Enterococcus faecalis vertebral osteomyelitis |
| title | Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review |
| title_full | Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review |
| title_fullStr | Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review |
| title_full_unstemmed | Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review |
| title_short | Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review |
| title_sort | tricuspid valve endocarditis complicated by mobitz type ii heart block a case report and literature review |
| topic | tricuspid valve endocarditis Mobitz type II AV block Enterococcus faecalis vertebral osteomyelitis |
| url | http://www.jchimp.net/index.php/jchimp/article/view/29689/pdf_46 |
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