Key result
Antibiotics and AVR successfully treat infective endocarditis without complications in a single case.
Why the study?
Infective endocarditis typically involves heart valves and late diagnosis can cause severe complications, including heart failure or death.
Case Report (n=1)
No
Highlights the importance of considering infective endocarditis in the differential diagnosis for patients presenting with long-term unexplained fever, new-onset heart murmur, and heart failure symptoms.
Supports successful IE management with surgery plus antibiotics; extends case evidence but leaves open need for prospective trials.
Infective endocarditis is an infection of the endocardial surface of the heart that usually involves the valves. Late diagnosis can lead to severe complications, such as heart failure, or even death. We have presented the case of a patient who was admitted with several months’ history of heart failure symptoms, intermittent fever, shiver and periodic neurological symptoms. MRI of endocranium depicted multiple ischemic lesions. Repeated transthoracic echocardiographies were done, thus setting the definitive diagnosis of the aortic valve endocarditis. Patient was treated with antibiotics according to guidelines and antibiogram. The surgical intervention in form of replacement of aortic valve was undergone; both early and later postoperative course was without complications. One should consider differential diagnosis of infective endocarditis in case of long term, unexplained fever, new onset of heart murmur and presence of risk factors.
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Popov et al. (2018) conducted a case report in infective endocarditis (n=1). antibiotic therapy and surgical intervention was evaluated on surgical outcomes and symptom improvement. Patient with infective endocarditis treated with surgery and antibiotics showed improvement without complications. .
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