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COVID-19-associated MRSA infective endocarditis and mitral valve perforation: a case report

Anwar Khedr1, Esraa Mamdouh Hassan2, Hussam Al Hennawi3

  • 1BronxCare Health System, Bronx, NY, USA.

The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology
|July 18, 2023
PubMed

Insights

This case report details a patient with Coronavirus disease 2019 (COVID-19) who developed infective endocarditis (IE) due to methicillin-resistant Staphylococcus aureus. Prompt diagnosis via transesophageal echocardiography is crucial for COVID-19 patients with suspected IE.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Critical Care Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) is a global pandemic with significant health impacts.
  • Comorbidities can complicate COVID-19 diagnosis and management.
  • Understanding COVID-19's interaction with other conditions is essential.

Purpose of the Study:

  • To report a case of infective endocarditis (IE) in a patient with COVID-19.
  • To highlight the diagnostic utility of transesophageal echocardiography in such cases.
  • To explore the potential association between COVID-19 and IE.

Main Methods:

  • Case report presentation of a COVID-19 patient.
  • Detailed clinical history including risk factors for bacteremia (diabetes mellitus, steroid use).
  • Diagnostic confirmation using transesophageal echocardiography.

Main Results:

  • The patient developed infective endocarditis and mitral valve perforation caused by methicillin-resistant Staphylococcus aureus.
  • Typical IE risk factors like intravenous drug use were absent.
  • Transesophageal echocardiography was key in diagnosing IE.

Conclusions:

  • COVID-19 may be associated with an increased risk of developing infective endocarditis.
  • Transesophageal echocardiography is vital for diagnosing IE in COVID-19 patients with high clinical suspicion.
  • Further research is needed to clarify the relationship between COVID-19 and IE.
Abstract

Keywords:
COVID-19EndocarditisMRSAMitral perforationStaphylococcus aureus

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