Successful treatment of polymicrobial multivalve infective endocarditis

Abstract

A 57-year-old man presented with triple valve infective endocarditis. There were vegetations on the tricuspid, mitral, and aortic valve. He had multiple complications such as pulmonary abscess, severe anaemia, and congestive heart failure. His general condition was extremely poor. Intensive medical therapy, such as blood transfusion, mechanical ventilation, and inotropic support, allowed him to tolerate surgery. Triple valve replacement was successfully performed without major complication. Vegetation cultures grew Streptococcus bovis and Enterecoccus faecalis. At 1 year follow-up, the patient is alive in NYHA functional class I.

Surgical treatment of multivalvular endocarditis: Twenty-one–year single center experience

“…MVE with biventricular involvement is uncommon and is mainly described in patients with prolonged intravenous infusions, in patients addicted to intravenous drugs, or in patients with CHD and a shunt. 17 In our series, 6 patients had biventricular involvement. All of them had predisposing CHD and Acquired Cardiovascular Disease none was addicted to intravenous drugs.…”

Clinical and Microbiologic Features of Multivalvular Endocarditis

“…Most papers are either case reports [4][5][6][7][8][9] or papers on the surgical treatment of multivalvular IE [10•, 11, 12, 13•, 14•, 15]. To our knowledge, only one medical review compared the features of 25 univalvular versus 14 multivalvular IE patients hospitalized in the 1990s [16].…”

Polymicrobial Q Fever and Enterococcal Aortic Prosthetic Valve Endocarditis with Aortic Root Abscess

“…In a prospective series reviewing 500 enterococcal endocarditis cases, no polymicrobial infections were described (Chirouze et al 2013). However, cases of combined infections with S. aureus and Streptococcus bovis are documented (Bishara et al 1999, Ferreiros et al 2006, Allocca et al 2007). …”