Dual pathogen valvular endocarditis in a case of severe aortic aneurysm.
Meghna YadavRohit TewariTathagata ChatterjeePublished in: Autopsy & case reports (2022)
Infective endocarditis (IE) is the heart valve or endocardium infection. We report a rare case of polymicrobial endocarditis, namely invasive Aspergillus spp and Acinetobacter baumannii, in a 36-year-old male with a medical history of degenerative disease of the aorta with abdominal aortic and ascending aortic aneurysms with a fulminant clinical course and fatal outcome. The treatment was challenging due to multiple comorbidities. The autopsy revealed dual pathogen endocarditis due to Acinetobacter baumannii sepsis and invasive Aspergillus spp mycosis. This report emphasizes that polymicrobial endocarditis (PE) is an infrequent finding with a poor prognosis requiring high clinical suspicion.
Keyphrases
- acinetobacter baumannii
- poor prognosis
- aortic valve
- multidrug resistant
- drug resistant
- pseudomonas aeruginosa
- rare case
- pulmonary artery
- abdominal aortic
- long non coding rna
- aortic aneurysm
- atrial fibrillation
- transcatheter aortic valve replacement
- candida albicans
- healthcare
- aortic dissection
- intensive care unit
- heart failure
- coronary artery
- acute kidney injury
- left ventricular
- cystic fibrosis
- early onset
- pulmonary arterial hypertension
- single cell
- septic shock
- combination therapy