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Multiple myeloma complicated with streptococcal endocarditis successfully treated by mitral valve replacement
S Fukuzawa1, S Ozawa, K Shimada
1Division of Cardiology, Funabashi Municipal Medical Center, Chiba.
Internal Medicine (Tokyo, Japan)
|January 1, 1994
Summary
Infectious endocarditis can cause heart failure in multiple myeloma patients, even before chemotherapy. Prompt surgical intervention for streptococcus sepsis and mitral valve issues is crucial for recovery.
Area of Science:
- Cardiology
- Infectious Diseases
- Hematology
Background:
- Multiple myeloma patients are often immunocompromised, increasing susceptibility to infections.
- Streptococcus sepsis can lead to severe complications, including infective endocarditis.
Observation:
- A 63-year-old male with multiple myeloma presented with congestive heart failure.
- Echocardiography revealed a large mitral valve vegetation and severe mitral regurgitation.
Findings:
- The patient's condition was diagnosed as streptococcus endocarditis.
- Urgent mitral valve replacement surgery was performed.
Implications:
- Infective endocarditis should be considered in immunocompromised patients with sepsis.
- Timely diagnosis and management of endocarditis are vital for patient outcomes.