Uncommon subvalvular infective endocarditis: Streptococcus salivarius vegetation on the posteromedial chordae in a COVID-19 patient requiring urgent surgery
Case report reveals rare subvalvular Streptococcus salivarius endocarditis on chordae tendineae in a COVID-19 patient, highlighting the need for urgent cardiac surgery.
Key Points
To describe a rare case of subvalvular infective endocarditis caused by Streptococcus salivarius on the posteromedial chordae in a patient with concurrent COVID-19 requiring urgent surgical intervention.
Clinical, microbiological, and echocardiographic evaluation of a patient presenting with COVID-19 and bacteremia.
Urgent surgical exploration and operative debridement to resect subvalvular vegetative lesions.
Echocardiographic and intraoperative findings confirmed an atypical Streptococcus salivarius vegetation localized to the posteromedial chordae tendineae.
Urgent surgical resection and targeted antimicrobial therapy successfully controlled the infection and prevented valvular destruction or embolic complications.