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Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
[Right-side infective endocarditis: discrepancy between clinical and echocardiographic evolution: case report].
Bruno Ramos Nascimento1, Thaíssa Oliveira de Almeida A Coelho, Lucas Rocha da Costa Filho
1Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG. ramosnas@uol.com.br
Revista Da Sociedade Brasileira De Medicina Tropical
|December 8, 2009
Summary
Infective endocarditis, particularly right-side cases, presents diagnostic challenges. A rare case highlights discrepancies between echocardiographic findings and clinical improvement, complicating treatment decisions.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Infective endocarditis (IE) is a severe infection with high morbidity and mortality.
- Diagnosing IE complications and guiding treatment strategies can be challenging.
Observation:
- A rare case of right-side infective endocarditis in a patient with chronic renal disease is presented.
- This case demonstrated a discrepancy between worsening echocardiographic findings and concurrent clinical improvement.
Findings:
- Atypical presentations of IE, like right-side involvement, complicate clinical management.
- Discordance between clinical status and imaging results poses difficulties in treatment decisions.
Implications:
- The findings underscore the complexity of managing IE, especially in atypical cases.
- This case raises questions about surgical indications and the safety of conservative management in IE.
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