Key result
Systemic lupus erythematosus in a 35-year-old woman presented with rapid progression of aortic stenosis and a misdiagnosed aortic wall abscess, mimicking subacute bacterial endocarditis.
Why the study?
Cardiovascular involvement in SLE can present with unusual and misleading features that complicate diagnosis and management.
Case Report (n=1)
Cardiovascular involvement in SLE can present atypically, such as mimicking a valve abscess, requiring careful clinical reasoning to avoid misdiagnosis and unnecessary surgery.
BACKGROUND Systemic lupus erythematosus (SLE) is a systemic disease with various cardiac and non-cardiac presentations. We present the case of a young woman with odd presentation of SLE mistakenly identified as a valve abscess that was scheduled for surgery. CASE REPORT This 35-year-old woman presented with rapid progression of aortic stenosis, and the transesophageal echocardiography report showed a misdiagnosed aortic web (congenital) and aortic wall abscess. She was scheduled for surgery as a case of subacute bacterial endocarditis (SBE) and aortic abscess, despite lack of fever. CONCLUSIONS Cardiovascular involvement should be considered in any SLE patient, especially those with high SLE scores, even with negative antiphospholipid antibody. Cardiovascular involvement may be odd and misleading in some cases, which may warrant especial attention and experienced caregivers for clinical reasoning and proper management.
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Bazyar et al. (2019) conducted a case report in Systemic lupus erythematosus (n=1). Systemic lupus erythematosus was evaluated. Systemic lupus erythematosus in a 35-year-old woman presented with rapid progression of aortic stenosis and a misdiagnosed aortic wall abscess, mimicking subacute bacterial endocarditis.
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