Isolated pulmonic valve endocarditis presenting as neck pain

Autor: Aditya Goud, Abdelhai Abdelqader, Chanukya Dahagam, Sriram Padmanabhan
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Community Hospital Internal Medicine Perspectives, Vol 5, Iss 6, Pp 1-3 (2015)
Druh dokumentu: article
ISSN: 2000-9666
DOI: 10.3402/jchimp.v5.29647
Popis: We discuss a unique case of a 52-year-old man with no history of intravenous drug use or dental procedures who presented with neck pain, 2 weeks of fevers, chills, night sweats, cough, and dyspnea found to have isolated pulmonic valve (PV) endocarditis. The patient did not have an associated murmur, which is commonly seen in right-sided infectious endocarditis. A transthoracic echocardiogram showed a thickened PV leaflet, with subsequent transesophageal echocardiogram showing a PV mass. Speciation of blood cultures revealed Streptococcus oralis. In right-sided infective endocarditis, usually the tricuspid valve is involved; however, in our case the tricuspid valve was free of any mass or vegetation. The patient did meet Duke criteria and was thus started on long-term intravenous antibiotics for infectious endocarditis. The patient's symptoms quickly improved with antibiotics. A careful history and evaluating the patient's risk factors are key in earlier detection of infective endocarditis (IE). Because of early detection and a high index of suspicion, the patient had no further complications and did not require any surgery. In conclusion, clinical suspicion of right-sided IE should be high in patients who present with persistent fevers and pulmonary symptoms in order to reduce the risk of complications, and to improve outcomes.
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje