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A Case Report of Infective Endocarditis With Icterus.
Ramtin Rezaie Kalantari1, AmirAbas Sadrian2, Torkan Banaee Rezaeie2
1Department of General Surgery, School of Medicine Jundishapur University of Medical Sciences Ahvaz Iran.
Clinical Case Reports
|October 29, 2025
Summary
Prompt diagnosis of infective endocarditis is crucial. Early echocardiography in patients with systemic symptoms like fever and jaundice can reveal critical cardiac issues, enabling timely intervention and recovery.
Area of Science:
- Cardiology
- Infectious Diseases
Background:
- Infective endocarditis is a serious infection with significant morbidity and mortality.
- Timely diagnosis and treatment are essential for favorable outcomes.
Purpose of the Study:
- To highlight the importance of early echocardiography in diagnosing infective endocarditis.
- To present a case of infective endocarditis presenting with atypical systemic symptoms.
Main Methods:
- A case report of a 49-year-old male with a 3-day history of jaundice, abdominal pain, and fever.
- Transthoracic echocardiography was performed due to persistent systemic symptoms.
- Emergency mitral valve surgery was performed.
Main Results:
- Transthoracic echocardiography revealed a large mitral valve mass with severe regurgitation.
- Successful mitral valve repair and vegetation removal were achieved.
- The patient made a full recovery.
Conclusions:
- Early echocardiography is vital for diagnosing infective endocarditis, even with non-specific symptoms.
- Prompt surgical intervention can lead to successful outcomes in severe cases.
- This case emphasizes the need for a high index of suspicion for infective endocarditis in patients with systemic symptoms.
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