Subacute infective endocarditis presenting with an isolated splenic infarction
<p dir="ltr">Background</p><p dir="ltr">Subacute endocarditis usually presents over a period of weeks or months. Symptoms usually include low grade fever, and generalized symptoms of malaise, anorexia, weight loss. Here we present a case of subacute endocarditis...
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2023
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| _version_ | 1864513532691742720 |
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| author | Maen MHD Baroudi (17746734) |
| author2 | Mohamed Kamal Sabra (17075230) Hassan Abuzaid (17746737) Hussein Alhussein (17746740) Osama Alkhalaila (17746743) Mhd Baraa Habib (11721774) |
| author2_role | author author author author author |
| author_facet | Maen MHD Baroudi (17746734) Mohamed Kamal Sabra (17075230) Hassan Abuzaid (17746737) Hussein Alhussein (17746740) Osama Alkhalaila (17746743) Mhd Baraa Habib (11721774) |
| author_role | author |
| dc.creator.none.fl_str_mv | Maen MHD Baroudi (17746734) Mohamed Kamal Sabra (17075230) Hassan Abuzaid (17746737) Hussein Alhussein (17746740) Osama Alkhalaila (17746743) Mhd Baraa Habib (11721774) |
| dc.date.none.fl_str_mv | 2023-01-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.idcr.2023.e01752 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Subacute_infective_endocarditis_presenting_with_an_isolated_splenic_infarction/24954588 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Infective endocarditis Splenic infarction Abdominal pain Echocardiogram Heart failure Valve regurgitation Bacteremia |
| dc.title.none.fl_str_mv | Subacute infective endocarditis presenting with an isolated splenic infarction |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Background</p><p dir="ltr">Subacute endocarditis usually presents over a period of weeks or months. Symptoms usually include low grade fever, and generalized symptoms of malaise, anorexia, weight loss. Here we present a case of subacute endocarditis presenting solely as acute left hypochondrial pain, which was found to be splenic infarct. Typical symptoms of subacute endocarditis were absent in our patient.</p><p dir="ltr"><br></p><p dir="ltr">Case report</p><p dir="ltr">A 48-year-old Yemeni gentleman presented to the emergency department with acute and severe left hypochondrial abdominal pain for a few hours. Blood investigations revealed normal blood count differential, renal, liver function, and electrolyte levels. CT abdomen with contrast showed large focal wedge-shaped splenic lesion representing splenic infarct. Initial workup was negative for an underlying etiology. TEE showed a spherical mobile mass attached to the aortic valve with moderate to severe aortic regurgitation. Subsequently, 3 sets of blood cultures were sent and revealed growth of streptococcus viridians in all bottles. The patient received IV antibiotics as a treatment of endocarditis.</p><p dir="ltr"><br></p><p dir="ltr">Conclusion</p><p dir="ltr">This case highlights how subacute endocarditis presented as splenic infarction, with the absence of the typical infectious symptoms. In case of splenic infarction with unclear source or etiology, it is reasonable to investigate thoroughly for infective endocarditis preferably with TEE.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2023.e01752" target="_blank">https://dx.doi.org/10.1016/j.idcr.2023.e01752</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_41ab03bf0e1fd1a90c6809a9141647ff |
| identifier_str_mv | 10.1016/j.idcr.2023.e01752 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24954588 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Subacute infective endocarditis presenting with an isolated splenic infarctionMaen MHD Baroudi (17746734)Mohamed Kamal Sabra (17075230)Hassan Abuzaid (17746737)Hussein Alhussein (17746740)Osama Alkhalaila (17746743)Mhd Baraa Habib (11721774)Biomedical and clinical sciencesClinical sciencesInfective endocarditisSplenic infarctionAbdominal painEchocardiogramHeart failureValve regurgitationBacteremia<p dir="ltr">Background</p><p dir="ltr">Subacute endocarditis usually presents over a period of weeks or months. Symptoms usually include low grade fever, and generalized symptoms of malaise, anorexia, weight loss. Here we present a case of subacute endocarditis presenting solely as acute left hypochondrial pain, which was found to be splenic infarct. Typical symptoms of subacute endocarditis were absent in our patient.</p><p dir="ltr"><br></p><p dir="ltr">Case report</p><p dir="ltr">A 48-year-old Yemeni gentleman presented to the emergency department with acute and severe left hypochondrial abdominal pain for a few hours. Blood investigations revealed normal blood count differential, renal, liver function, and electrolyte levels. CT abdomen with contrast showed large focal wedge-shaped splenic lesion representing splenic infarct. Initial workup was negative for an underlying etiology. TEE showed a spherical mobile mass attached to the aortic valve with moderate to severe aortic regurgitation. Subsequently, 3 sets of blood cultures were sent and revealed growth of streptococcus viridians in all bottles. The patient received IV antibiotics as a treatment of endocarditis.</p><p dir="ltr"><br></p><p dir="ltr">Conclusion</p><p dir="ltr">This case highlights how subacute endocarditis presented as splenic infarction, with the absence of the typical infectious symptoms. In case of splenic infarction with unclear source or etiology, it is reasonable to investigate thoroughly for infective endocarditis preferably with TEE.</p><p dir="ltr"><br></p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2023.e01752" target="_blank">https://dx.doi.org/10.1016/j.idcr.2023.e01752</a></p>2023-01-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.idcr.2023.e01752https://figshare.com/articles/journal_contribution/Subacute_infective_endocarditis_presenting_with_an_isolated_splenic_infarction/24954588CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249545882023-01-01T00:00:00Z |
| spellingShingle | Subacute infective endocarditis presenting with an isolated splenic infarction Maen MHD Baroudi (17746734) Biomedical and clinical sciences Clinical sciences Infective endocarditis Splenic infarction Abdominal pain Echocardiogram Heart failure Valve regurgitation Bacteremia |
| status_str | publishedVersion |
| title | Subacute infective endocarditis presenting with an isolated splenic infarction |
| title_full | Subacute infective endocarditis presenting with an isolated splenic infarction |
| title_fullStr | Subacute infective endocarditis presenting with an isolated splenic infarction |
| title_full_unstemmed | Subacute infective endocarditis presenting with an isolated splenic infarction |
| title_short | Subacute infective endocarditis presenting with an isolated splenic infarction |
| title_sort | Subacute infective endocarditis presenting with an isolated splenic infarction |
| topic | Biomedical and clinical sciences Clinical sciences Infective endocarditis Splenic infarction Abdominal pain Echocardiogram Heart failure Valve regurgitation Bacteremia |