Clinical Practice Update on Infectious Endocarditis

Multivalvular Endocarditis With Abscess: A Wild Goose Chase

“…Our patient’s echocardiogram 1 month before presentation did not show evidence of vegetations, however, sensitivity of TTE for diagnosis of endocarditis is approximately 70%, and additional imaging (transesophageal echocardiogram) was indicated. 6 The acute change in TTE imaging suggests rapid development of vegetations over the following weeks, and seeding of the mitral valve in the setting of severe aortic valve regurgitation. The vegetation was discovered on the anterior leaflet of the atrial side of the mitral valve, which is more commonly appreciated in the elderly and patients with degenerative valve disease or prosthetic valves.…”

Infective Endocarditis Complicated With Septic Embolic Stroke After Transcatheter Aortic Valve Implantation: A Case Report

“…Diagnosis of post-TAVI-IE utilizes the modified Duke criteria [ 8 ]. The most common presentations are fever and heart failure [ 5 ], usually presenting within one-year post-procedure.…”

Poor long-term outcomes of intravenous drug users with infectious endocarditis

“…(2) left-sided endocarditis caused by highly resistant microorganisms; (3) the presence of heart block, root abscess, or destructive lesions; (4) persistent or fever despite multiple days of appropriate antibiotics; (5) and large or persistent vegetations. 18,19 In terms of structure, patients were typically discussed before surgery, but also discussed again if any problems arose. Postoperatively, patients were in the cardiovascular intensive care unit until they were stabilized and then transferred to a step-down medicine service.…”