A Rare Case of Bivalvular Infective Endocarditis With Left Atrial Mural Endocarditis.
| Autor: | Rana AD; Department of Medicine, Central Arkansas Veterans Healthcare System, Little Rock, USA., Xu J; Department of Cardiology, Novant Health, Winston-Salem, USA., Manam R; Department of Cardiology, Novant Health, Winston-Salem, USA., Zwischenberger BA; Department of Cardiothoracic Surgery, Duke University, Durham, USA., Alemu R; Department of Cardiology, Novant Health, Winston-Salem, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jun 12; Vol. 16 (6), pp. e62268. Date of Electronic Publication: 2024 Jun 12 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.62268 |
| Abstrakt: | Infective endocarditis (IE) is a life-threatening cardiac infection usually associated with cardiac valves. Left atrial (LA) mural endocarditis is rarely seen and occurs in isolation or in conjunction with mitral valve endocarditis. We present a case of a 61-year-old male with no prior cardiac history who presented with melena and fevers. Blood cultures were positive for Enterococcus faecalis. Transesophageal echocardiogram (TEE) demonstrated aortic and mitral valve vegetations with several small echo densities present on the left atrial wall. These findings were further assessed with a computed tomography angiogram of the heart and cardiac magnetic resonance imaging Ti600 sequence. The patient was treated with intravenous antibiotics and underwent aortic and mitral valve replacement with resection of numerous small fungating masses on the left atrium. There are currently no formal guidelines in place for managing mural endocarditis. However, conducting a multidisciplinary evaluation by an endocarditis team could aid in achieving earlier and more precise diagnoses of the underlying condition and its complications. This approach could also ensure consistent antibiotic therapy and appropriate timing for surgical intervention. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Rana et al.) |
| Databáze: | MEDLINE |
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