Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature
Joint Authors
Source
Case Reports in Infectious Diseases
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-06-12
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Haemophilus parainfluenzae, which uncommonly causes endocarditis, has never been documented to cause mural involvement.
A 62-year-old immunocompetent female without predisposing risk factors for endocarditis except for poor dentition presented with fever, emesis, and dysmetria.
Echocardiography found a mass attached to the left ventricular wall with finger-like projections.
Computed tomography showed evidence of embolic phenomena to the brain, kidneys, spleen, and colon.
Cardiac MRI revealed involvement of the chordae tendineae of the anterior papillary muscles.
Blood cultures grew Haemophilus parainfluenzae.
The patient was treated successfully with ceftriaxone with resolution of symptoms, including neurologic deficits.
After eleven days of antibiotics a worsening holosystolic murmur was discovered.
Worsening mitral regurgitation on echocardiography was only found three weeks later.
Nine weeks after presentation, intraoperative evaluation revealed chord rupture but no residual vegetation and mitral repair was performed.
Four weeks after surgery, the patient was back to her baseline.
This case illustrates the ability of Haemophilus parainfluenzae to form large mural vegetations with high propensity of embolization in otherwise normal cardiac tissue among patients with dental risk factors.
It also underscores the importance of physical examination in establishing a diagnosis of endocarditis and monitoring for progression of disease.
American Psychological Association (APA)
Giurgea, Luca T.& Lahey, Tim. 2016. Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature. Case Reports in Infectious Diseases،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100968
Modern Language Association (MLA)
Giurgea, Luca T.& Lahey, Tim. Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature. Case Reports in Infectious Diseases No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100968
American Medical Association (AMA)
Giurgea, Luca T.& Lahey, Tim. Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature. Case Reports in Infectious Diseases. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100968
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100968