Ventricular septal defect and bivalvular endocarditis

A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to...

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Autores principales:	Kate E Birkenkamp, Jay J Jin, Raina Shivashankar, Hayan Jouni, Larry M Baddour, Lori A Blauwet
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2015
Materias:	echocardiography infective endocarditis pulmonary valve endocarditis ventricular septal defect Medicine R
Acceso en línea:	https://doaj.org/article/665bb4fe5fa747a7920a138e5c589419
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spelling	oai:doaj.org-article:665bb4fe5fa747a7920a138e5c5894192021-12-02T16:38:07ZVentricular septal defect and bivalvular endocarditis2231-07702249-446410.4103/2231-0770.148507https://doaj.org/article/665bb4fe5fa747a7920a138e5c5894192015-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.148507https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to the mitral valve, a 16 mm × 16 mm mobile mass attached to the pulmonary valve, and a small membranous ventricular septal defect. The patient received 12 weeks of intravenous (IV) antibiotics with eventual resolution of the masses. Multi-valve endocarditis involving both the left and right chambers is rarely reported without prior history of IV drug use or infective endocarditis. Our case emphasizes the importance of careful assessment for ventricular septal defects or extra-cardiac shunts in individuals who present with simultaneous right and left-sided endocarditis.Kate E BirkenkampJay J JinRaina ShivashankarHayan JouniLarry M BaddourLori A BlauwetThieme Medical and Scientific Publishers Pvt. Ltd.articleechocardiographyinfective endocarditispulmonary valve endocarditisventricular septal defectMedicineRENAvicenna Journal of Medicine, Vol 05, Iss 01, Pp 21-23 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	echocardiography infective endocarditis pulmonary valve endocarditis ventricular septal defect Medicine R
spellingShingle	echocardiography infective endocarditis pulmonary valve endocarditis ventricular septal defect Medicine R Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet Ventricular septal defect and bivalvular endocarditis
description	A 63-year-old man presented with generalized fatigue, chills, malaise, dyspnea, intermittent fevers, and 50-pound weight loss of 4 months′ duration. Blood cultures were positive for pan-sensitive Streptococcus anginosus. Transesophageal echocardiography showed an 11 mm × 3 mm mobile mass attached to the mitral valve, a 16 mm × 16 mm mobile mass attached to the pulmonary valve, and a small membranous ventricular septal defect. The patient received 12 weeks of intravenous (IV) antibiotics with eventual resolution of the masses. Multi-valve endocarditis involving both the left and right chambers is rarely reported without prior history of IV drug use or infective endocarditis. Our case emphasizes the importance of careful assessment for ventricular septal defects or extra-cardiac shunts in individuals who present with simultaneous right and left-sided endocarditis.
format	article
author	Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet
author_facet	Kate E Birkenkamp Jay J Jin Raina Shivashankar Hayan Jouni Larry M Baddour Lori A Blauwet
author_sort	Kate E Birkenkamp
title	Ventricular septal defect and bivalvular endocarditis
title_short	Ventricular septal defect and bivalvular endocarditis
title_full	Ventricular septal defect and bivalvular endocarditis
title_fullStr	Ventricular septal defect and bivalvular endocarditis
title_full_unstemmed	Ventricular septal defect and bivalvular endocarditis
title_sort	ventricular septal defect and bivalvular endocarditis
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2015
url	https://doaj.org/article/665bb4fe5fa747a7920a138e5c589419
work_keys_str_mv	AT kateebirkenkamp ventricularseptaldefectandbivalvularendocarditis AT jayjjin ventricularseptaldefectandbivalvularendocarditis AT rainashivashankar ventricularseptaldefectandbivalvularendocarditis AT hayanjouni ventricularseptaldefectandbivalvularendocarditis AT larrymbaddour ventricularseptaldefectandbivalvularendocarditis AT loriablauwet ventricularseptaldefectandbivalvularendocarditis
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Ventricular septal defect and bivalvular endocarditis

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