Biventricular infective endocarditis in an immunocompetent adult patient with a congenital ventricular septal defect: a case report
| Autor: | Muhammad Azam Shah, Mohammad Bara Qattea, Iftikhar Ahmed Bajwa, Abdulaziz Ali Ahmed Alghamdi, Saif Hasan Alogabey |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population Case Reports 030204 cardiovascular system & hematology Ventricular septal defect Systemic circulation Mural 03 medical and health sciences Embolization 0302 clinical medicine Antibiotic therapy Case report medicine 030212 general & internal medicine Biventricular education education.field_of_study Lung business.industry Incidence (epidemiology) medicine.disease Surgery medicine.anatomical_structure Infective endocarditis Right Ventricular Free Wall Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Heart Journal: Case Reports |
| ISSN: | 2514-2119 |
| Popis: | Introduction Congenital heart defects predispose patients to a significantly increased risk of infective endocarditis (IE), and the incidence is even greater in the immunocompromised population. The involvement of multiple valves leads to a higher rate of complications and thus mortality. Moreover, biventricular IE is an uncommon condition with no specific guidelines for treatment. Case presentation In this report, we discuss a case of an immunocompetent young male with a congenital perimembranous ventricular septal defect, complicated by multivalvular and right ventricular free wall vegetations. Biventricular involvement of IE along with septic embolization to both the pulmonary and systemic circulation resulted in challenges in the management of this patient. Discussion The decision regarding timing and type (surgical vs. conservative) of treatment in such a complicated and aggressive IE case should be based on individual circumstances. However, the strategy of initial antibiotic therapy followed by surgical intervention can be a suitable option in such patients. |
| Databáze: | OpenAIRE |
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