Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect
Infective endocarditis is usually diagnosed using modified Duke’s criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and surg...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2016-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/3793968 |
| _version_ | 1798046414721253376 |
|---|---|
| author | Vistasp Jimmy Daruwalla Jahnavi Sagi Hassan Tahir Srikanth Penumetsa |
| author_facet | Vistasp Jimmy Daruwalla Jahnavi Sagi Hassan Tahir Srikanth Penumetsa |
| author_sort | Vistasp Jimmy Daruwalla |
| collection | DOAJ |
| description | Infective endocarditis is usually diagnosed using modified Duke’s criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and surgical techniques, morbidity and mortality with staphylococcal infective endocarditis remain high. Hence, we stress the significance of having a low threshold for TEE in patients with multisystem involvement due to Staphylococcus aureus that have evidence of persistent infection despite antibiotic treatment, even if the suspicion for endocarditis is low based on Duke’s criteria. TEE substantially improves the sensitivity of diagnosis but may not be readily available in many medical centers. Presence of an ASD has been noted to have increased the risk of left sided endocarditis even with conditions that predispose to right sided endocarditis, particularly in patients with hemodialysis and diabetes as morbid risk factors. |
| first_indexed | 2024-04-11T23:37:07Z |
| format | Article |
| id | doaj.art-ced32b9c06494ad0b2c974d1384df7d8 |
| institution | Directory Open Access Journal |
| issn | 2090-6404 2090-6412 |
| language | English |
| last_indexed | 2024-04-11T23:37:07Z |
| publishDate | 2016-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj.art-ced32b9c06494ad0b2c974d1384df7d82022-12-22T03:56:55ZengHindawi LimitedCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/37939683793968Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal DefectVistasp Jimmy Daruwalla0Jahnavi Sagi1Hassan Tahir2Srikanth Penumetsa3Conemaugh Memorial Medical Center, Temple University, 1086 Franklin Street, Johnstown, PA 15905, USAConemaugh Memorial Medical Center, Temple University, 1086 Franklin Street, Johnstown, PA 15905, USAConemaugh Memorial Medical Center, Temple University, 1086 Franklin Street, Johnstown, PA 15905, USAConemaugh Memorial Medical Center, Temple University, 1086 Franklin Street, Johnstown, PA 15905, USAInfective endocarditis is usually diagnosed using modified Duke’s criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and surgical techniques, morbidity and mortality with staphylococcal infective endocarditis remain high. Hence, we stress the significance of having a low threshold for TEE in patients with multisystem involvement due to Staphylococcus aureus that have evidence of persistent infection despite antibiotic treatment, even if the suspicion for endocarditis is low based on Duke’s criteria. TEE substantially improves the sensitivity of diagnosis but may not be readily available in many medical centers. Presence of an ASD has been noted to have increased the risk of left sided endocarditis even with conditions that predispose to right sided endocarditis, particularly in patients with hemodialysis and diabetes as morbid risk factors.http://dx.doi.org/10.1155/2016/3793968 |
| spellingShingle | Vistasp Jimmy Daruwalla Jahnavi Sagi Hassan Tahir Srikanth Penumetsa Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect Case Reports in Cardiology |
| title | Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
| title_full | Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
| title_fullStr | Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
| title_full_unstemmed | Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
| title_short | Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
| title_sort | staphylococcus aureus endocarditis with multivalvular involvement secondary to an atrial septal defect |
| url | http://dx.doi.org/10.1155/2016/3793968 |
| work_keys_str_mv | AT vistaspjimmydaruwalla staphylococcusaureusendocarditiswithmultivalvularinvolvementsecondarytoanatrialseptaldefect AT jahnavisagi staphylococcusaureusendocarditiswithmultivalvularinvolvementsecondarytoanatrialseptaldefect AT hassantahir staphylococcusaureusendocarditiswithmultivalvularinvolvementsecondarytoanatrialseptaldefect AT srikanthpenumetsa staphylococcusaureusendocarditiswithmultivalvularinvolvementsecondarytoanatrialseptaldefect |