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Infective Endocarditis Involving the Chiari Network
Dharmikkumar Jadvani1, Aakash Rana2, Jack Xu3
1Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, US.
Insights
A rare case of Chiari network endocarditis caused by Staphylococcus aureus infection was diagnosed in a patient with multiple comorbidities. This highlights the importance of considering unusual cardiac involvements in complex patients.
Area of Science:
- Infectious Diseases
- Cardiology
- Medical Diagnostics
Background:
- A 52-year-old male with a history of hypertension, bipolar disorder, substance use, and HIV presented with foot and back pain.
- The patient exhibited fever and leukocytosis, with blood cultures positive for methicillin-sensitive Staphylococcus aureus.
Abstract:
A 52-year-old male with a past medical history significant for hypertension, bipolar disorder, tobacco use, gout, homelessness, intravenous drug use, untreated hepatitis C (spontaneous clearance), and human immunodeficiency virus presented to the emergency department with complaints of left foot pain and lower back pain. He was found to have fever, mild leukocytosis, and blood cultures with positive methicillin-sensitive Staphylococcus aureus infection. Transesophageal echocardiography was performed to check for intracardiac vegetations due to high risk of infective endocarditis. A mobile echo density was seen attached to the Chiari network, leading to diagnosis of Chiari network endocarditis.
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