Acute Mitral Valve Endocarditis Complicated by Complete Atrioventricular Block, Junctional Escape Rhythm and Skin Manifestations

Abstract

Staphylococcus aureus. The patient was transferred for surgery due to rapid progression, large vegetation, and PE. Bioprosthesis mitral valve replacement was performed; however, the patient died due to prosthetic valve dehiscence and pulmonary edema 10 days after discharge. IE is a disease that should be diagnosed rapidly and evaluated with a multidisciplinary approach. Early surgery should be considered in patients at high risk for PE and effective antibiotic therapy should be initiated immediately. Additionally, the patients should be closely monitored hemodynamically for arrhythmias, such as atrioventricular block.

A rare case of native mitral valve infective endocarditis presenting with complete heart block and intermittent atrial flutter

“…A case similar to ours occurred in 2019, wherein a 19-year-old female, without a past medical history, presented with anterior mitral valve Staphylococcus aureus infective endocarditis with complete heart block and a junctional rhythm [7]. Despite the insertion of a prosthetic valve, the patient died soon after discharge, however.…”