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Native quadruple-valve endocarditis caused by Enterococcus faecalis.

Patrick R Krake1, Fahim Zaman, Neeraj Tandon

  • 1Section of Cardiology, Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA. pkrake@hotmail.com

Texas Heart Institute Journal
|April 6, 2004
PubMed
Summary
This summary is machine-generated.

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This case study highlights a rare instance of hospital-acquired quadruple-valve endocarditis caused by Enterococcus faecalis. Transesophageal echocardiography was crucial for diagnosing this severe infection affecting all four heart valves.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Enterococcus faecalis is a common cause of bacterial endocarditis.
  • Hospital-acquired infections present unique challenges in diagnosis and treatment.

Observation:

  • A patient developed febrile illness and a new cardiac murmur post-surgery.
  • Blood cultures identified Enterococcus faecalis, prompting antibiotic treatment.
  • Echocardiography revealed vegetations on all four native heart valves.

Findings:

  • The patient presented with hospital-acquired quadruple-valve endocarditis, a rare manifestation of Enterococcus faecalis infection.
  • Transthoracic echocardiography initially suggested valve abnormalities, but transesophageal echocardiography confirmed extensive endocarditis.

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  • Despite antibiotic therapy, the patient's condition deteriorated, leading to death.

    • Implications:

    • This case underscores the importance of considering rare pathogens and complex presentations in hospital-acquired endocarditis.
    • Transesophageal echocardiography is vital for accurate diagnosis and assessment of severity in suspected native valve endocarditis.
    • Early and accurate diagnosis is critical for improving outcomes in severe cases of bacterial endocarditis.