The heart of the matter
Abstract
A 65-year-old Hispanic man receiving peritoneal dialysis presented to the emergency department complaining of the sudden onset of numbness and tingling of the right side of his body and face with associated nausea, vomiting, vertigo, and blurry vision. Further testing revealed a large, mobile mass on his mitral valve, leading to a diagnosis of endocarditis with embolic phenomena. The presentation, diagnosis, and treatment of endocarditis are discussed here.
Keywords: Embolic phenomena; endocarditis; infective endocarditis.
Figures
Similar articles
-
Infective endocarditis presenting initially with ileus complicated by dehiscence of annuloplasty ring.BMC Cardiovasc Disord. 2015 Oct 14;15:124. doi: 10.1186/s12872-015-0113-2. BMC Cardiovasc Disord. 2015. PMID: 26466683 Free PMC article.
-
Septic Embolic Stroke Resulting From Staphylococcus lugdunensis Endocarditis.Ochsner J. 2017 Summer;17(2):184-188. Ochsner J. 2017. PMID: 28638293 Free PMC article.
-
[Broad ischemic stroke revealing infective endocarditis in a young patient: about a case].Pan Afr Med J. 2016 Sep 27;25:31. doi: 10.11604/pamj.2016.25.31.10347. eCollection 2016. Pan Afr Med J. 2016. PMID: 28154723 Free PMC article. French.
-
Achromobacter xylosoxidans, an emerging pathogen in catheter-related infection in dialysis population causing prosthetic valve endocarditis: a case report and review of literature.Clin Nephrol. 2009 Mar;71(3):350-4. doi: 10.5414/cnp71350. Clin Nephrol. 2009. PMID: 19281752 Review.
-
Brachial Mycotic Pseudoaneurysms Due to Prosthetic Valve Infective Endocarditis: A Case Report and Review of the Literature.Heart Surg Forum. 2020 Aug 28;23(5):E617-E620. doi: 10.1532/hsf.2951. Heart Surg Forum. 2020. PMID: 32990588 Review.
References
-
- Di Salvo G., Habib G., Pergola V., et al. Echocardiography predicts embolic events in infective endocarditis. J Am Coll Cardiol. 2001;37((4)):1069–1076. - PubMed
-
- Mügge A., Daniel W. G., Gunter F., Lichtlen P. R. Echocardiography in infective endocarditis: reassessment of prognostic implications of vegetation size determined by the transthoracic and the transesophageal approach. J Am Coll Cardiol. 1989;14((3)):631–638. - PubMed
-
- Vilacosta I., Graupner C., San Román J. A., et al. Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol. 2002;39((9)):1489–1495. - PubMed
-
- Reeder G. S., Tajik A. J., Seward J. B. Left ventricular mural thrombus: two-dimensional echocardiographic diagnosis. Mayo Clin Proc. 1981;56((2)):82–86. - PubMed
LinkOut - more resources
Full Text Sources