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Prosthetic valve endocarditis presenting with back pain alone: A case report.
Toshihiro Sato1, Shinichiro Morioka1, Takato Nakamoto1
1Disease Control and Prevention Center National Center for Global Health and Medicine Tokyo Japan.
Journal of General and Family Medicine
|August 4, 2020
Summary
This case study highlights prosthetic valve endocarditis (PVE) in a patient presenting with back pain. Early diagnosis of PVE is crucial for effective treatment.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Prosthetic valve endocarditis (PVE) is a serious complication following cardiac valve replacement surgery.
- Early diagnosis and treatment are critical for patient outcomes.
Observation:
- A 64-year-old woman presented with isolated right back pain seven months post-prosthetic valve replacement.
- Physical examination revealed conjunctival petechiae and a systolic murmur.
- Blood cultures identified methicillin-resistant Staphylococcus epidermidis.
Findings:
- Trans-esophageal echocardiography confirmed aortic valve vegetations, leading to a diagnosis of PVE.
- The patient's symptoms mimicked polymyalgia rheumatica, emphasizing the varied presentation of infective endocarditis.
Implications:
- This case underscores the importance of considering PVE in patients with relevant history and non-specific symptoms.
- Prompt diagnosis based on clinical presentation, imaging, and microbiology is essential for managing PVE.
Keywords:
blood culturecase reportphysical examinationpolymyalgia rheumaticaprosthetic valve endocarditisMore Related Videos
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