Infective endocarditis of a forgotten valve
A 62-years-old man with interventricular communication was admitted to the hospital with a 6-month history of constitutional symptoms. The patient was feverish and a grade III/VI continuous murmur was noted in all precordium. Patient’s blood analysis showed elevation of inflammatory markers and bac...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2023-01-01
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| Series: | Italian Journal of Medicine |
| Subjects: | |
| Online Access: | https://www.italjmed.org/index.php/ijm/article/view/1548 |
| _version_ | 1827612914254610432 |
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| author | Andreia Freitas Gabriel Atanásio Joana Mascarenhas |
| author_facet | Andreia Freitas Gabriel Atanásio Joana Mascarenhas |
| author_sort | Andreia Freitas |
| collection | DOAJ |
| description |
A 62-years-old man with interventricular communication was admitted to the hospital with a 6-month history of constitutional symptoms. The patient was feverish and a grade III/VI continuous murmur was noted in all precordium. Patient’s blood analysis showed elevation of inflammatory markers and bacteriaemia caused by Granulicatella adiacens. Transoesophageal echocardiogram diagnosed infective endocarditis of the aortic valve. The patient completed 3 weeks of antibiotic therapy and was submitted to aortic valve replacement and correction of the interventricular communication. Before hospital discharge, routine transthoracic echocardiogram was done and a pulmonary valve vegetation measuring 6x7 mm, not previously described, was noted, as well as de novo severe pulmonary valve insufficiency. The surgical risk was very high in this patient. Antibiotic therapy was extended and the patient was maintained under close follow-up in appointments. The patient remained asymptomatic and clinically stable.
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| first_indexed | 2024-03-09T08:31:08Z |
| format | Article |
| id | doaj.art-d8011be21a894e47ae733bcfa121de97 |
| institution | Directory Open Access Journal |
| issn | 1877-9344 1877-9352 |
| language | English |
| last_indexed | 2024-03-09T08:31:08Z |
| publishDate | 2023-01-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj.art-d8011be21a894e47ae733bcfa121de972023-12-02T20:12:44ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522023-01-01AOP10.4081/itjm.2022.1548Infective endocarditis of a forgotten valveAndreia Freitas0Gabriel Atanásio1Joana Mascarenhas2Internal Medicine Department, Centro Hospitalar Vila Nova de Gaia/EspinhoInternal Medicine Department, Centro Hospitalar Tondela, ViseuInternal Medicine Department, Centro Hospitalar Vila Nova de Gaia/Espinho A 62-years-old man with interventricular communication was admitted to the hospital with a 6-month history of constitutional symptoms. The patient was feverish and a grade III/VI continuous murmur was noted in all precordium. Patient’s blood analysis showed elevation of inflammatory markers and bacteriaemia caused by Granulicatella adiacens. Transoesophageal echocardiogram diagnosed infective endocarditis of the aortic valve. The patient completed 3 weeks of antibiotic therapy and was submitted to aortic valve replacement and correction of the interventricular communication. Before hospital discharge, routine transthoracic echocardiogram was done and a pulmonary valve vegetation measuring 6x7 mm, not previously described, was noted, as well as de novo severe pulmonary valve insufficiency. The surgical risk was very high in this patient. Antibiotic therapy was extended and the patient was maintained under close follow-up in appointments. The patient remained asymptomatic and clinically stable. https://www.italjmed.org/index.php/ijm/article/view/1548endocarditispulmonary valvetransthoracic echocardiography |
| spellingShingle | Andreia Freitas Gabriel Atanásio Joana Mascarenhas Infective endocarditis of a forgotten valve Italian Journal of Medicine endocarditis pulmonary valve transthoracic echocardiography |
| title | Infective endocarditis of a forgotten valve |
| title_full | Infective endocarditis of a forgotten valve |
| title_fullStr | Infective endocarditis of a forgotten valve |
| title_full_unstemmed | Infective endocarditis of a forgotten valve |
| title_short | Infective endocarditis of a forgotten valve |
| title_sort | infective endocarditis of a forgotten valve |
| topic | endocarditis pulmonary valve transthoracic echocardiography |
| url | https://www.italjmed.org/index.php/ijm/article/view/1548 |
| work_keys_str_mv | AT andreiafreitas infectiveendocarditisofaforgottenvalve AT gabrielatanasio infectiveendocarditisofaforgottenvalve AT joanamascarenhas infectiveendocarditisofaforgottenvalve |