AI Article Synopsis
- A 57-year-old patient presented with fever and joint issues, revealing a floating mass in the left ventricle through a transthoracic echocardiogram (TTE) and a myocardial abscess on a cardiac MRI.
- Despite receiving specific antibiotics and anticoagulation therapy, the patient suffered sudden neurological complications that resulted in his brain death in the ICU.
Article Abstract
Infective endocarditis (IE) is today a public health problem, as the recent ESC Guidelines have also recalled. Abscesses can be complications of IE and their presence means that the infection is not controlled. We describe the complex case of a 57-year-old patient, presented in ED for fever and oleocranical bursitis, increase of cardiac enymes at blood samples. He was admitted to our Cardiology Unit because TTE showed a floating peduncolated formation in the left ventricle. The susequent TEE documented also the presence of a myocardial abscess, confirmed at cardiac MRI. Blood cultures were positive for MSSA and the man received specific antibiotic therapy. Anticoagulation treatment was started with UFH and then switched to Warfarin, surgical approach of the lesion would have been too dangerous according to Cardiac Surgeons. Serious and sudden neurological complications then followed, leading the patient to brain death in ICU.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11258067 | PMC |
| http://dx.doi.org/10.1007/s10554-024-03088-w | DOI Listing |
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