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Healthcare-Associated nontuberculous mycobacterial endocarditis following coronary artery angiography

Kalpak Bhatt1, Harsh Toshniwal1, Vipul Shah2

  • 1IDTM Clinic, Ahmedabad, Gujarat, India.

International Journal of Mycobacteriology
|March 17, 2023
PubMed

Insights

A rare case of Mycobacterium chelonae infective endocarditis occurred in a young male with congenital heart disease after coronary artery angiography. This highlights the diagnostic and therapeutic challenges of this uncommon infection.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Infective endocarditis is a serious heart valve infection.
  • Structural heart disease increases endocarditis risk.
  • Coronary artery angiography is an invasive diagnostic procedure.

Observation:

  • A young male with congenital heart disease underwent coronary artery angiography.
  • The patient developed infective endocarditis.
  • The causative agent was identified as Mycobacterium chelonae.

Findings:

  • Mycobacterium chelonae is a rare cause of infective endocarditis.
  • This complication is particularly uncommon after coronary artery angiography.
  • The case presented significant diagnostic and therapeutic difficulties.

Implications:

  • Highlights the need for vigilance for rare infections post-angiography in patients with heart disease.
  • Underscores the challenges in diagnosing and treating non-tuberculous mycobacterial endocarditis.
  • Emphasizes the importance of considering atypical pathogens in infective endocarditis management.

Keywords:
Infective endocarditisMycobacterium chelonaenontuberculous mycobacteria

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