Infective endocarditis (IE) is today a public health problem, as the recent ESC Guidelines have also recalled. Abscesses can be complications of IE and their presence means that the infection is not controlled. We describe the complex case of a 57-year-old patient, presented in ED for fever and oleocranical bursitis, increase of cardiac enymes at blood samples. He was admitted to our Cardiology Unit because TTE showed a floating peduncolated formation in the left ventricle. The susequent TEE documented also the presence of a myocardial abscess, confirmed at cardiac MRI. Blood cultures were positive for MSSA and the man received specific antibiotic therapy. Anticoagulation treatment was started with UFH and then switched to Warfarin, surgical approach of the lesion would have been too dangerous according to Cardiac Surgeons. Serious and sudden neurological complications then followed, leading the patient to brain death in ICU.
Keyphrases
- left ventricular
- public health
- atrial fibrillation
- case report
- venous thromboembolism
- emergency department
- magnetic resonance imaging
- intensive care unit
- pulmonary hypertension
- pulmonary embolism
- heart failure
- multiple sclerosis
- thoracic surgery
- white matter
- pulmonary artery
- computed tomography
- quality improvement
- coronary artery
- magnetic resonance
- resting state
- rare case
- mechanical ventilation
- replacement therapy
- smoking cessation