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Diagnostic Dilemma: Infective Endocarditis in the Setting of an Esophageal Abscess
Emad Elmusa1, Ahmad Muneeb1, Muhammad Waleed Raza1
1Internal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.
Abstract:
Transesophageal echocardiography (TEE) is the preferred imaging modality to diagnose infective endocarditis (IE). However, esophageal disease can preclude performing a TEE. We present such a scenario. A patient with an esophageal abscess, methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia, and septic pulmonary emboli with suspicion for IE based on the modified Duke criteria. However, due to the patient's esophageal abscess, TEE could not be performed safely. We present this case to demonstrate a rare scenario in which a patient with an esophageal abscess also had presumed IE.
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