Key result
Severe S. aureus mitral endocarditis presents in an asymptomatic young man with previously undiagnosed HOCM.
Why the study?
Mitral valve endocarditis complicating hypertrophic cardiomyopathy is a rare condition with limited data on clinical presentation and treatment options.
Case Report (n=1)
Highlights a rare presentation of mitral valve endocarditis complicating hypertrophic obstructive cardiomyopathy.
Clinicians should consider endocarditis in febrile HOCM patients; this isolated case leaves open questions on incidence and prevention.
Mitral endocarditis complicating hypertrophic cardiomyopathy occurs predominantly on the left ventricular aspect of the anterior mitral valve leaflet in the presence of outflow tract obstruction. It is a rare condition and the estimated cumulative 10 year probability of developing endocarditis in patients with obstruction is < 5%. Combined mitral valve replacement and septal myectomy has been reported in this setting. A case of community acquired Staphylococcus aureus mitral valve endocarditis is reported in a previously asymptomatic young man with hypertrophic obstructive cardiomyopathy. The potential treatment options are discussed.
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Gareth J Morgan-Hughes (2002) conducted a case report in Mitral valve endocarditis in hypertrophic obstructive cardiomyopathy (n=1). A case of community-acquired Staphylococcus aureus mitral valve endocarditis was reported in a previously asymptomatic young man with hypertrophic obstructive cardiomyopathy.
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