Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report

  • Achmad Lefi
  • Denny Suwanto
  • Evelyne Chandra
  • Tony Santoso Putra
  • Eka Prasetya Budi Mulia
DOI: https://doi.org/10.35975/apic.v26i5.2012
Keywords: Prosthetic Valve, Endocarditis, Staphylococcus Aureus, Mitral Stenosis, Echocardiography

Abstract

Prosthetic valve endocarditis (PVE) accounts for 20.1% of all infective endocarditis cases. We report a case of PVE complicated by arrhythmias, embolic phenomenon, and sepsis. A 64-year-old female with history of mitral valve replacement presented to the hospital with febrile episode and malaise. Echocardiography showed vegetation at paravalvular area, and Staphylococcus aureus was found on blood culture. Aggressive intravenous antibiotic cover and hemodynamic support were initiated. The management of PVE remains a challenge due to its malignant course and heterogenous complications.

Citation: Suwanto D, Lefi A, Chandra E, Putra TS, Mulia EPB. Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report. Anaesth. pain intensive care 2022;26(5):723-726.

DOI: 10.35975/apic.v26i5.2012

Author Biographies

Achmad Lefi

Achmad Lefi, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia

Denny Suwanto

Denny Suwanto, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia

Evelyne Chandra

Evelyne Chandra, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Tony Santoso Putra

Tony Santoso Putra, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia

Eka Prasetya Budi Mulia

Eka Prasetya Budi Mulia, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia

Published
10-18-2022
How to Cite
Lefi, A., Suwanto, D., Chandra, E., Putra, T., & Budi Mulia, E. P. (2022). Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report. Anaesthesia, Pain & Intensive Care, 26(5), 723-726. https://doi.org/10.35975/apic.v26i5.2012
Issue
Vol 26 No 5 (2022): October 2022
Section
Case Reports