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Right-sided infective endocarditis complicated with aortic pseudoaneurysms and systemic embolism in a 27-year-old female with ventricular septal defect: a case report.
Pan Afr Med J
December 2024
Department of Cardiology B, Hospital University Center Ibn Sina, Mohamed V University, Rabat, Morocco.
Article Synopsis
- Infective endocarditis (IE) can occur in adults with ventricular septal defects (VSD), and this case reports a rare instance involving systemic embolisms and aortic pseudoaneurysms.
- A 27-year-old woman with a previously asymptomatic VSD presented with prolonged fever and was found to have staphylococcus infection, heart murmurs, and serious complications like mycotic aneurysms and embolisms.
- The patient received targeted antibiotics and underwent urgent heart surgery, emphasizing the importance of checking for systemic embolism in right ventricle IE and noting that congenital VSD can lead to serious complications from bacteremia.
Endovascular Treatment of Mycotic Intracranial Aneurysms: A Series of Three Cases with Institutional Treatment Algorithm.
Asian J Neurosurg
December 2024
Department of Neuroimaging & Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.
Mycotic intracranial aneurysms (MIAs) are rare but can cause significant morbidity and mortality due to rupture. Most patients have additional systemic medical comorbidities making endovascular treatment a vital modality in the treatment of these aneurysms. We aimed to share our institutional experience with the role of endovascular therapy in the treatment of mycotic aneurysms with a literature review.
View Article and Find Full Text PDFA Fatal Abdominal Aortic Mycotic Aneurysm in a Child With Concurrent Pericarditis.
Cureus
October 2024
Paediatric Cardiology, Uganda Heart Institute, Kampala, UGA.
Article Synopsis
- Mycotic aneurysms are localized expansions of blood vessels caused by infections that weaken the vessel walls, making them serious but rare medical conditions.
- They can arise from bacteria invading healthy blood vessels or infecting existing abnormalities like aneurysms or plaques.
- The case of a four-year-old with an abdominal aortic mycotic aneurysm and pericarditis highlights the diagnostic challenges due to non-specific symptoms, along with a discussion on risk factors and treatment options.
Clinical Recommendations for Managing Genitourinary Adverse Effects in Patients Treated with SGLT-2 Inhibitors: A Multidisciplinary Expert Consensus.
J Clin Med
October 2024
Department of Infectious Diseases, Research Department, Hospital Universitario Fundación Alcorcón, 28922 Madrid, Spain.
SGLT-2 inhibitors (SGLT-2is) are considered to be a first-line treatment for common conditions like type 2 diabetes, chronic kidney disease, and heart failure due to their proven ability to reduce cardiovascular and renal morbidity and mortality. Despite these benefits, SGLT-2is are associated with certain adverse effects (AEs), particularly genitourinary (GU) events, which can lead to treatment discontinuation in some patients. Preventing these AEs is essential for maintaining the cardiorenal benefits of SGLT-2is.
View Article and Find Full Text PDFA rare case of infectious aortitis caused by Burkholderia pseudomallei.
Int J Surg Case Rep
December 2024
Department of Vascular Surgery, Royal Perth Hospital, Perth, Australia.
Introduction: Melioidosis is caused by Burkholderia pseudomallei and primarily affects non-vascular organ systems. We present a case of a melioidotic penetrating aortic ulcer (PAU) with unusual clinical features of vascular infection. The patient was successfully treated with a single-stage neoaortoiliac system procedure, highlighting the challenges in managing melioidotic aortic infections.
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