Native Aortic Valve Endocarditis Secondary to Gastric Antral Vascular Ectasia Manipulation During Endoscopic Argon Plasma Coagulation.
| Autor: | Nair R; Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, New York City, USA., Elsaygh J; Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, New York City, USA., Zaher A; Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, New York City, USA., Fragner M; Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, New York City, USA., Perk G; Cardiology, New York-Presbyterian Brooklyn Methodist Hospital, New York City, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Feb 09; Vol. 16 (2), pp. e53930. Date of Electronic Publication: 2024 Feb 09 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.53930 |
| Abstrakt: | Gastric antral vascular ectasia (GAVE) is an uncommon cause of upper gastrointestinal (GI) bleeds. Due to the high vascularity of the region, transient bacteremia due to manipulation of the GI tract can very rarely cause the translocation of bacteria. We present a rare case in which endoscopic manipulation to treat GAVE led to native valve infective endocarditis (IE). Our patient had a prior history of GAVE and presented with worsening dizziness and shortness of breath (SOB). After an esophagogastroduodenoscopy (EGD) and subsequent argon plasma coagulation (APC) for active preantral bleeding, the patient was noted to have repeated fevers, a new cardiac murmur, and positive blood cultures for Staphylococcus epidermidis , leading to a diagnosis of native infective endocarditis. With high clinical suspicion and early recognition of a new cardiac murmur, a transesophageal echocardiogram (TEE) was key in identifying vegetation. This case highlights the importance of combining history, a physical exam, and diagnostic lab tests and imaging to identify endocarditis. Management included two months of intravenous (IV) vancomycin and repeat TEE for close monitoring of vegetation improvement. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Nair et al.) |
| Databáze: | MEDLINE |
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