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Isolation of Murine Valve Endothelial Cells
Published on: August 21, 2014
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Rare cause for a common presentation: isolated pulmonary valve endocarditis yet another mimicker
Ahmed Shameem Reza1, Dharmesh Anand2, Sing Huey Cheng3
1Department of Cardiology, Western Health, Melbourne, Victoria, Australia.
BMJ Case Reports
|July 20, 2018
Summary
Isolated pulmonary valve endocarditis (PVE) is rare but increasingly seen after medical procedures. This case highlights Enterococcus faecalis PVE post-colonoscopy, mimicking pneumonia.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Procedures
Background:
- Isolated pulmonary valve endocarditis (PVE) is a rare cardiac condition.
- Traditionally associated with intravenous drug abuse and congenital heart disease.
- Emerging epidemiology shows PVE linked to invasive healthcare procedures, even in healthy hearts.
Observation:
- A patient presented with symptoms mimicking pneumonia and radiological findings suggestive of a neoplastic lesion.
- The patient had a history of alcohol excess and recently underwent colonoscopy and polypectomy.
Findings:
- The patient was diagnosed with isolated PVE caused by Enterococcus faecalis.
- Enterococcus faecalis is an increasingly identified pathogen in PVE cases.
Implications:
- This case underscores the evolving epidemiology of PVE, emphasizing its occurrence post-procedurally.
- Highlights the diagnostic challenges of PVE, requiring a high index of suspicion, especially when symptoms are non-specific.
- Suggests considering PVE in patients with relevant risk factors presenting with respiratory or atypical symptoms post-invasive procedures.
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