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Ruptured mitral valve abscess with mitral incompetence in culture negative infective endocarditis: case report

Raja Dashti1, Mohammed Al Jarallah1, Rajesh Rajan1

  • 1Department of Cardiology, Sabah Al Ahmad Cardiac Center, Al-Amiri Hospital, Bin Misbah Street, Capital Governorate , Sharq, Kuwait City, 15300 Kuwait.

European Heart Journal. Case Reports
|April 26, 2019
PubMed
Abstract

Insights

Perivalvular abscess in native valve infective endocarditis (IE) increases mortality. Echocardiography is crucial for managing culture-negative IE, as demonstrated in a case of severe mitral regurgitation.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Perivalvular abscess in native valve infective endocarditis (IE) is linked to higher mortality rates.
  • Culture-negative IE presents diagnostic challenges.

Observation:

  • A 29-year-old Indian male presented with culture-negative IE and a perivalvular abscess.
  • The patient had severe mitral regurgitation necessitating mitral valve replacement.

Findings:

  • Echocardiography played a vital role in diagnosing and managing this complex case.
  • The study underscores the utility of echocardiography in culture-negative IE.

Implications:

  • Early and accurate diagnosis of IE, even when cultures are negative, is critical for patient outcomes.
  • This case emphasizes the importance of advanced imaging in guiding treatment for severe IE complications.
Keywords:
Blood culture negative infective endocarditisCase reportMitral valve abscessMitral valve replacement

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