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Native Aortic Valve Endocarditis Associated With Methicillin-Sensitive Staphylococcus aureus Presenting With
Lütfiye Kararmaz Aktaş1, Emre Yılmaz1, Sencer Çamcı1
1Department of Cardiology, Giresun University, Giresun, TUR.
Cureus
|August 27, 2025
Summary
This case report highlights a complex presentation of infective endocarditis (IE). Repeated diagnostic imaging and blood cultures were crucial for diagnosing IE in a patient with initial non-specific symptoms.
Area of Science:
- Cardiology
- Infectious Diseases
- Radiology
Background:
- Infective endocarditis (IE) presents diagnostic challenges due to complex clinical scenarios.
- Early diagnosis of IE is critical to reduce mortality and morbidity.
Observation:
- A 77-year-old male presented with fever and widespread pain, initially without clear IE signs.
- Spondylodiscitis was diagnosed via repeat lumbar MRI, followed by identification of Methicillin-sensitive *Staphylococcus aureus* in blood cultures.
- Cardiac imaging revealed vegetation, confirming IE.
Findings:
- Initial investigations for IE were inconclusive.
- Repeated diagnostic examinations, including MRI and blood cultures, were essential for definitive IE diagnosis.
- The case underscores the importance of persistent investigation in suspected IE.
Implications:
- Clinicians must consider IE in patients with elevated acute-phase reactants and vascular/embolic symptoms.
- This case report adds valuable literature for analyzing complex IE presentations.
- Timely and repeated diagnostic efforts are key for successful IE management.
Keywords:
infective endocarditislower back painmethicillin-sensitive staphylococcus aureusnativ valve endocarditisspondylodiscitisMore Related Videos
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