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2017 ; 11
(1
): 128
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Complicated infective endocarditis: a case series
#MMPMID28482860
Kim JS
; Kang MK
; Cho AJ
; Seo YB
; Kim KI
J Med Case Rep
2017[May]; 11
(1
): 128
PMID28482860
show ga
BACKGROUND: Infective endocarditis is associated with not only cardiac
complications but also neurologic, renal, musculoskeletal, and systemic
complications related to the infection, such as embolization, metastatic
infection, and mycotic aneurysm. CASE PRESENTATION: We report three cases (the
first patient is Chinese and the other two are Koreans) of complicated infective
endocarditis; two of the cases were associated with a mycotic aneurysm, and one
case was associated with a splenic abscess. One case of a patient with prosthetic
valve endocarditis was complicated by intracerebral hemorrhage caused by mycotic
aneurysm rupture. A second case of a patient with right-sided valve endocarditis
associated with a central catheter was complicated by an abdominal aortic mycotic
aneurysm. The third patient had a splenic infarction and abscess associated with
infected cardiac thrombi. CONCLUSIONS: Complicated infective endocarditis is rare
and is associated with cardiac, neurologic, renal, musculoskeletal, and systemic
complications related to infection, such as embolization, metastatic infection,
and mycotic aneurysm. Infective endocarditis caused by Staphylococcus aureus is
more frequently associated with complications. Because the mortality rate
increases when complications develop, aggressive antibiotic therapy and surgery,
combined with specific treatments for the complications, are necessary.
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