Key result
Urgent surgery and targeted antibiotics successfully resolve culture-negative mitral valve abscess rupture.
Case Report (n=1)
No
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Supports individualized surgical management in culture-negative mitral endocarditis with abscess; leaves open efficacy in larger cohorts.
INTRODUCTION: Perivalvular abscess in native valve infective endocarditis (IE) is associated with significantly increased mortality. CASE DESCRIPTION: Herein, we report a 29 year old Indian male who presented with culture negative IE with perivalvular abscess and severe mitral regurgitation requiring mitral valve replacement. DISCUSSION: Initial approach is very difficult in terms of when IE presents as culture negative. This case highlights the important role of echocardiography in the management of culture negative IE.
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Dashti et al. (2018) conducted a case report in Culture-negative infective endocarditis with mitral valve abscess (n=1). Mitral valve replacement, abscess excision, and intravenous antibiotics was evaluated on Clinical improvement and resolution of infection. A 29-year-old male with blood culture-negative infective endocarditis and a ruptured mitral valve abscess was successfully treated with surgical excision, valve replacement, and intravenous antibiotics.
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