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Related Experiment Videos

Multivalve endocarditis with multiple peripheral and pulmonary embolisms: a case report.

Anabela Pinto1, Luísa Moura Branco, Nuno Pelicano

  • 1Serviço de Cardiologia do Hospital de Santa Marta, Lisboa, Portugal. yarispiupiu@iol.pt

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|October 26, 2005
PubMed
Summary

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Diagnosing infective endocarditis in elderly patients is challenging. This case highlights the importance of considering this infection, even with atypical presentations like peripheral embolism and mycotic aneurysms.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Geriatrics

Background:

  • Fever of unknown origin (FUO) presents diagnostic challenges in the elderly.
  • Infective endocarditis is frequently overlooked in older patients, with other conditions like cancer often prioritized.
  • Subacute infective endocarditis requires careful consideration in geriatric populations presenting with FUO.

Observation:

  • An elderly woman presented with FUO and was initially suspected of having malignancy.
  • The patient experienced multiple pulmonary and peripheral embolic events.
  • A left femoral mycotic aneurysm was identified during the diagnostic workup.

Findings:

  • The patient was diagnosed with subacute mitral and tricuspid infective endocarditis.
  • Peripheral embolism was a key indicator leading to the correct diagnosis.

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  • The presence of a mycotic aneurysm complicated the clinical picture.

    • Implications:

    • This case underscores the need for a high index of suspicion for infective endocarditis in elderly patients with FUO.
    • Peripheral and pulmonary embolisms can be critical signs of endocarditis in this demographic.
    • Timely diagnosis and treatment of infective endocarditis are crucial to prevent severe complications such as mycotic aneurysms.