Infective endocarditis (IE) is a rare, elusive disease, carrying a 10%-30% mortality. Requiring a high index of suspicion, IE affects damaged native valves and prosthetic valves. While there are a number of inherent risk factors that predispose patients to IE, dental work in the preceding six weeks is often a culprit of disease, colonizing damaged native mitral valves with species. Traditionally, flossing has been suggested to be protective against IE. We present a case of subacute IE on a regurgitant native mitral valve secondary to vigorous flossing.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7813535 | PMC |
http://dx.doi.org/10.7759/cureus.12144 | DOI Listing |
Pharmaceuticals (Basel)
October 2024
Division of Cardiology and CardioLab, Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, Italy.
Cureus
October 2024
Internal Medicine, Ascension St. John Hospital, Warren, USA.
Legionella is a bacterium that primarily causes respiratory infections. Rarely, it can result in extrapulmonary infections like endocarditis. We present a case of native valve endocarditis caused by Legionella in a 74-year-old male.
View Article and Find Full Text PDFEcho Res Pract
November 2024
Clinic of Internal Medicine II, Department of Cardiology, Paracelsus Medical University of Salzburg, Müllner Hauptstraße 48, Salzburg, 5020, Austria.
While the visual estimation of systolic left ventricular function by experienced examiners closely aligns with quantitative methodologies, the accuracy of visual estimation in determining the severity of valvular regurgitation using colour flow Doppler assessment of native heart valves remains largely unexplored. This study analysed the ability of 262 physicians to visually estimate the severity of 12 native valve regurgitations by grading colour Doppler transthoracic echocardiography loops in an online questionnaire. The assessments of the participants were compared to standardized quantitative evaluations conducted by certified echocardiography experts.
View Article and Find Full Text PDFA man in his 60s presented to the emergency department with central crushing chest pain on a background of a week's history of flu-like symptoms. An ECG demonstrated ischaemia with blood tests confirming myocardial injury; catheter angiography revealed an obstructed diagonal coronary artery. In addition, blood tests revealed elevated markers of inflammation, blood cultures grew and transthoracic echocardiography demonstrated a mitral valve lesion.
View Article and Find Full Text PDFCureus
September 2024
Microbiology, Mater Dei Hospital, L-Imsida, MLT.
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