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A case of endocarditis mimicking Crimean-Congo haemorrhagic fever

Esra Tanyel1, Mustafa Sunbul2, Tom Fletcher2,3

  • 1Department of Infectious Disease and Clinical Microbiology, Ondokuz Mayıs University, Medical School, Samsun, Turkey estanyel@yahoo.com.tr.

Tropical Doctor
|August 4, 2016
PubMed

Insights

Delayed diagnosis of infective endocarditis (IE) occurred due to initial misdiagnosis as Crimean Congo Hemorrhagic Fever (CCHF). Staphylococcus aureus caused the acute IE, necessitating valve replacement and highlighting diagnostic challenges.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Critical Care Medicine

Background:

  • Infective endocarditis (IE) presents with diverse clinical manifestations, posing diagnostic challenges.
  • Crimean Congo Hemorrhagic Fever (CCHF) is an endemic viral illness with overlapping symptoms.
  • Early and accurate diagnosis of IE is crucial for patient outcomes.

Observation:

  • A case of acute IE was initially misdiagnosed as CCHF in an endemic region.
  • The patient presented with symptoms suggestive of a viral hemorrhagic fever.
  • Diagnostic delays significantly impacted the management of the IE case.

Findings:

  • The causative agent of IE was identified as Staphylococcus aureus.
  • The patient required surgical valve replacement due to the severity of the infection.
  • Misdiagnosis stemmed from the overlap in clinical presentations between IE and CCHF.

Implications:

  • Emphasizes the need for a broad differential diagnosis in endemic areas.
  • Highlights the critical role of thorough patient history and physical examination.
  • Underscores the importance of utilizing diverse diagnostic modalities for complex cases.

Keywords:
Crimean-Congo haemorrhagic feverinfective endocarditismisdiagnosis

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