A rare case of Whipple's disease with endocarditis in a patient with dextrocardia.

Publication/Presentation Date

1-1-2020

Abstract

We report a case of an elderly Caucasian male with past medical history of dextrocardia with situs inversus totalis, polymyalgia rheumatica, history of cryptogenic stroke, and severe mitral regurgitation with mitral valve prolapse, who presented with acute heart failure symptoms, including severe dyspnea on exertion and worsening lower extremity edema in the setting of immunosuppression with steroids for a year-old diagnosis of polymyalgia rheumatica. One month prior to this presentation, the patient suffered a transient ischemic attack and during the workup, his transthoracic echocardiography showed myxomatous degeneration of posterior mitral leaflet, partially flail, with severe mitral regurgitation, which required mitral valve replacement. Genome sequencing of mitral valve anterior leaflet pathology detected

Volume

8

First Page

2050313

Last Page

2050313

ISSN

2050-313X

Disciplines

Medicine and Health Sciences

PubMedID

32655867

Department(s)

Department of Medicine

Document Type

Article

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