If blood cultures are negative, then it is less likely to be infective
endocarditis, and patients are less likely to have a positive echocardiogram," said Dr.
Despite the high antimicrobial drug susceptibility of these bacteria, the mortality rate from Bartonella
endocarditis may reach 31% (10).
Patients with comorbid conditions such as diabetes, dialysis-dependent renal failure, and intravenous drug abuse and the immune compromised status associated with acquired immune deficiency syndrome and pulmonary tuberculosis masquerade diagnostic challenges that also have important implications for treatment of IE Patients with poor dental hygiene and diabetes mellitus are also conditions associated with an increased incidence of infective
endocarditis, mainly the profound immunosuppression found in AIDS along with pulmonary tuberculosis predisposes these patients to multiple opportunistic infections including IE.
All Q fever
endocarditis patients must satisfy the modified Duke criteria for IE [sup][3] and have significant levels of immunoglobulin (Ig) G titer antibodies against C.
tropicalis
endocarditis of the mitral valve was diagnosed.
There was a reconsideration of the diagnosis, infective
endocarditis being the main supposition, which brought the patient to the Cardiology Department.
Risk factors for HACEK
endocarditis can vary and include some of the same factors associated with other sources of infective
endocarditis.
Differential diagnosis is made with marantic
endocarditis, associated with neoplastic processes, for which advocates the fever and the antral gastric cancer, but where the echocardiographic image is typical with numerous tiny vegetations, with frequent embolic complications and severe prognostic (unlike our case);
endocarditis in collagenoses, specific for the female gender, that also associates fever, tiredness, weight loss, but with no systemic complications and no biological features of colagenosis in our case.
She presented a series of 23 cases included in the Cleveland Clinic Infective
Endocarditis Registry from the period of 2007-2015.
was first discovered in 1909 by A L Barton and described as a cause of culture-negative
endocarditis in 1993.
Conclusion: In our local population, the incidence of infective
endocarditis is in young adults.
ANCA positivity may pose a diagnostic and therapeutic quandary in the face of patient presentation consistent with either a vasculitic or infectious process, particularly in the case of infective
endocarditis [6].
