An Unusual Presentation of an Enterococcus faecalis Endocarditis With Wrist and Forearm Infection: A Case Report.
| Autor: | Østerhegn LG; Cardiology, University of Copenhagen, Copenhagen, DNK., Procida K; Cardiology, Zealand University Hospital, Roskilde, DNK., Fosbøl EL; Cardiology, Copenhagen University Hospital, Copenhagen, DNK., Bruun NE; Cardiology, Zealand University Hospital, Roskilde, DNK. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 03; Vol. 16 (4), pp. e57526. Date of Electronic Publication: 2024 Apr 03 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.57526 |
| Abstrakt: | In this case, an unusual presentation of Enterococcus faecalis ( E.faecalis ) endocarditis and clinical signs of wrist and forearm infection are reported. Before the patient was diagnosed with E.faecalis endocarditis, the patient managed to be treated with both prednisolone, various antibiotics, and colchicine on suspicion of gout, erysipelas, and deep tissue infection. Growth of E.faecalis in blood cultures raised the suspicion of endocarditis, and transesophageal echocardiography revealed vegetations on the aortic and the mitral valves with a perforation of the anterior mitral leaflet. Since the patient responded well to antibiotic treatment and there was no progression of the size of the vegetations or the perforation, it was decided by the endocarditis team to refrain from surgery. E. faecalis endocarditis can be difficult to diagnose because the patients are often elderly, and symptoms may be subtle and misleading. In the present case, the diagnostic process was based on the Danish IE guidelines, which state that E. faecalis is a typical IE bacterium. Accepting E. faecalis as a typical infective endocarditis bacterium may lead to an earlier diagnosis and treatment. Competing Interests: The authors have declared financial relationships, which are detailed in the next section. (Copyright © 2024, Østerhegn et al.) |
| Databáze: | MEDLINE |
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