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Culture-Negative Infective Endocarditis Presenting With Cardio-Hepatorenal Syndrome in a 21-Year-Old Patient: A Case
Jana Kotaich1,2, Safaa Ghanem1,3, Nour Mina1,3
1Department of Internal Medicine, MEDICA Research Investigation, Hadath, Lebanon.
Abstract:
Infective endocarditis (IE) imposes a challenge in clinical practice, often demanding rapid and precise identification of the causative agent to guide tailored therapeutic interventions. However, a subset of cases presents an elusive diagnostic dilemma with culture-negative results, thereby complicating the management strategy. This case report sheds light on a particularly rare instance of culture-negative IE in a 21-year-old previously healthy male who presented with dyspnea and jaundice, emphasizing the scarcity of such cases in the existing medical literature. Through a detailed examination of clinical manifestations, diagnostic modalities, and treatment outcomes, we aim to contribute valuable insights into the nuanced aspects of culture-negative IE. Furthermore, this report underscores the imperative need for clinicians to maintain a high index of suspicion for IE, even in the absence of positive cultures, to ensure timely and appropriate management for improved patient prognosis.
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