Ventricular septal defect and bivalvular endocarditis.
Publication/Presentation Date
1-1-2015
Abstract
A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months' duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to the mitral valve, a 16 mm × 16 mm mobile mass attached to the pulmonary valve, and a small membranous ventricular septal defect. The patient received 12 weeks of intravenous (IV) antibiotics with eventual resolution of the masses. Multi-valve endocarditis involving both the left and right chambers is rarely reported without prior history of IV drug use or infective endocarditis. Our case emphasizes the importance of careful assessment for ventricular septal defects or extra-cardiac shunts in individuals who present with simultaneous right and left-sided endocarditis.
Volume
5
Issue
1
First Page
21
Last Page
23
ISSN
2231-0770
Published In/Presented At
Birkenkamp, K. E., Jin, J. J., Shivashankar, R., Jouni, H., Baddour, L. M., & Blauwet, L. A. (2015). Ventricular septal defect and bivalvular endocarditis. Avicenna journal of medicine, 5(1), 21–23. https://doi.org/10.4103/2231-0770.148507
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
25625086
Department(s)
Administration and Leadership
Document Type
Article