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Mitro-aortic infective endocarditis on bicuspid aortic valve multicomplicated: a case report.
Mohammed Boutaybi1, Othmane Doudouh1, Charmake Darar Assoweh1
1Department of Cardiology, Mohammed VI University Hospital.
Infective endocarditis (IE) is a serious heart infection. This case highlights IE
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- Infective endocarditis (IE) is a rare but serious condition with high mortality.
- It often affects individuals with pre-existing heart conditions.
- Early diagnosis and treatment are crucial for improving patient outcomes.
Purpose of the Study:
- To present a complex case of infective endocarditis.
- To illustrate the diverse extracardiac manifestations of IE.
- To emphasize the importance of considering IE in patients with prolonged fever and embolic events.
Main Methods:
- Case report of a 34-year-old patient with a 4-month history of asthenia and fever.
- Diagnostic workup included physical examination, transthoracic echocardiography, blood cultures, and CT scans.
- Identification of Enterococci in blood cultures confirmed the diagnosis.
Main Results:
- Transthoracic echocardiography revealed vegetations on mitral and aortic valves.
- CT scans showed ischemic stroke, aortic coarctation, splenic and renal infarction, and mycotic aneurysms.
- Blood cultures were positive for Enterococci.
Conclusions:
- Infective endocarditis can lead to severe extracardiac complications through vascular and immunological pathways.
- Embolic events and mycotic aneurysms significantly worsen the prognosis of IE.
- Comprehensive imaging and microbiological investigations are essential for managing IE and its complications.
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