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Native and Prosthetic Simultaneously Double Valve Infective Endocarditis with Enterococcus faecalis-Case-Based
Raluca Ecaterina Haliga1,2, Victorita Sorodoc1,2, Bianca Codrina Morarasu1
1Faculty of Medicine, Department of Internal Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iași, Romania.
Journal of Personalized Medicine
|February 25, 2023
Summary
Enterococcus faecalis can cause severe infective endocarditis, particularly affecting multiple heart valves. This review details a rare case of double valve endocarditis involving native aortic and prosthetic mitral valves.
Area of Science:
- Cardiology
- Infectious Diseases
- Valvular Heart Disease
Background:
- Infective endocarditis (IE) is a serious heart infection, often affecting heart valves.
- Enterococcus faecalis is a significant cause of IE, linked to high mortality.
- Simultaneous involvement of multiple heart valves in IE is uncommon.
Purpose of the Study:
- To present the first case-based narrative review of Enterococcus faecalis double valve endocarditis.
- To describe a rare case involving native aortic and prosthetic mitral valves.
- To highlight clinical characteristics, treatment strategies, and complications.
Main Methods:
- Literature search for Enterococcus faecalis endocarditis cases.
- Case report of a patient with native aortic and prosthetic mitral valve endocarditis.
- Narrative review synthesis of clinical data, treatment, and outcomes.
Main Results:
- Enterococcus faecalis double valve endocarditis is rare, especially with mixed native and prosthetic valves.
- Clinical presentation can be atypical, posing diagnostic challenges.
- Treatment is complex due to potential antibiotic resistance and complications.
Conclusions:
- Enterococcus faecalis double valve endocarditis requires careful management.
- Early diagnosis and tailored antimicrobial therapy are crucial.
- Surgical intervention may be necessary for optimal outcomes in complex cases.
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