Key result
Mitral valve replacement yields 24-month relapse-free recovery in an immunocompetent man with tuberculous endocarditis.
Case Report (n=1)
No
Tuberculous endocarditis can rarely present as an incidental finding in immunocompetent patients and can be successfully managed with surgical valve replacement.
Rare case supports surgical feasibility in tuberculous endocarditis; leaves open optimal therapy and generalizability.
Valvular endocarditis due to Mycobacterium tuberculosis is a rare clinical entity. It is usually manifest in the context of disseminated tuberculosis in immunocompromised patients. This report describes a unique case of a 30-year-old immunocompetent man with an incidental finding of tuberculous valvular endocarditis. The patient had a large mass on the anterior mitral leaflet and severe mitral regurgitation. He underwent mitral valve replacement and Mycobacterium tuberculosis was cultured from the valve vegetation and the right atrial masses. Post-operative recovery has been uneventful without relapse for 24 months.
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Sultan et al. (2009) conducted a case report in Tuberculous endocarditis (n=1). Mitral valve replacement was evaluated on Post-operative recovery and relapse. Mitral valve replacement in a 30-year-old immunocompetent man with tuberculous endocarditis led to an uneventful recovery without relapse for 24 months.
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