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[Endocarditis due to staphylococcus aureus during cardiomyopathy].

J F Huret, M Jandin, M Rigaud

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |November 1, 1977
    PubMed
    Summary

    Septicemia in obstructive hypertrophic cardiomyopathy (IHSS) caused mitral valve issues and kidney failure. Successful mitral valve replacement resolved these complications, restoring the patient

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    Area of Science:

    • Cardiology
    • Nephrology
    • Infectious Diseases

    Background:

    • Obstructive hypertrophic cardiomyopathy (IHSS) presents unique challenges.
    • Septicemia can exacerbate cardiac conditions.

    Observation:

    • A patient with IHSS developed severe mitral incompetence and cardiac failure during Staphylococcus aureus septicemia.
    • Concurrent acute reversible renal failure (interstitial nephritis) and immune complex glomerulonephritis were observed.
    • A significant reduction in the left intra-ventricular pressure gradient occurred.

    Findings:

    • Treatment of septicemia and subsequent mitral valve replacement with a Lillehei prosthesis led to complete resolution of symptoms.
    • Post-operative catheterization confirmed the disappearance of the left intra-ventricular pressure gradient.

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  • Hemodynamic signs of cardiac failure were no longer present twenty months after surgery.

    • Implications:

    • This case highlights the potential for severe systemic complications, including cardiac and renal dysfunction, secondary to septicemia in IHSS patients.
    • Surgical intervention, specifically mitral valve replacement, can be effective in managing these complications.
    • Early recognition and treatment of septic triggers are crucial for improving outcomes in IHSS.