Ann Cardiol Cardiovasc Med | Volume 4, Issue 1 | Case Report | Open Access
Madiha Iqbal*
Department of Internal Medicine, Aga Khan University Hospital, Pakistan
*Correspondance to: Madiha Iqbal
Fulltext PDFA 45 year-old-female with no prior cardiac disease presented with a two month history of shortness of breath, intermittent fever and drowsiness. On examination she had pan systolic murmur on mitral area, purpuric lesions of both legs and splenomegaly. Laboratory workup showed leukocytosis, elevated C-reactive protein and first blood culture showed growth of streptococcus specie. Transthoracic echocardiograph showed mobile echogenic densities on both anterior and posterior mitral leaflets suggestive of vegetation. Computed tomography of brain showed multiple cerebral abscesses. During hospital stay patient developed right leg pain, on ultrasound Doppler showed echogenic thrombus in right popliteal artery was seen. Patient underwent mitral valve replacement surgery, per operative finding showed totally destroyed valve with large vegetation involving left
atrium and annulus was found. This case is of major interest that she was early recognized for all possible complications of the disease and treated accordingly with difficult surgery and broad spectrum antibiotics.
Infective endocarditis; Giant vegetation; Doppler
Iqbal M. Infective Endocarditis and Giant Vegetation with Complicated Course. Ann Cardiol Cardiovasc Med. 2020;4(1):1033..