An Atypical Presentation of Gonococcal Endocarditis

Area of Science:

• Cardiology
• Infectious Diseases
• Microbiology

Background:

• Gonococcal endocarditis is a rare but serious complication of *Neisseria gonorrhoeae* infection.
• It often presents with embolic phenomena and can be rapidly progressive.
• Early diagnosis and treatment are crucial to prevent severe outcomes.

Observation:

• A 53-year-old male presented with cardiac arrest and cardiopulmonary resuscitation.
• He was diagnosed with myocardial infarction, bihemispheric cerebral embolization, and mitral valve endocarditis.
• Polymerase chain reaction (PCR) detected *Neisseria gonorrhoeae* on the explanted mitral valve.

Findings:

• The case highlights a rare instance of gonococcal endocarditis.
• Successful mitral valve replacement was performed.
• *Neisseria gonorrhoeae* was identified as the causative agent via PCR.

Implications:

• This case adds to the limited literature on gonococcal endocarditis.
• It underscores the importance of considering *Neisseria gonorrhoeae* in infective endocarditis, especially in younger patients or those with risk factors.
• Prompt diagnosis and management can improve patient outcomes in this rare condition.