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Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review

We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. Th...

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Autores principales: Agu, Chidozie Charles, Salhan, Divya, Bakhit, Ahmed, Basheer, Hiba, Basunia, Md, Bhattarai, Bikash, Oke, Vikram, Schmidt, Marie Frances, Dufresne, Alix
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677589/
https://www.ncbi.nlm.nih.gov/pubmed/26653699
http://dx.doi.org/10.3402/jchimp.v5.29689
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author Agu, Chidozie Charles
Salhan, Divya
Bakhit, Ahmed
Basheer, Hiba
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Dufresne, Alix
author_facet Agu, Chidozie Charles
Salhan, Divya
Bakhit, Ahmed
Basheer, Hiba
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Dufresne, Alix
author_sort Agu, Chidozie Charles
collection PubMed
description We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. There was no history of IV drug use and urine toxicology was negative. EKG showed Mobitz type II AV block and a transesophageal echocardiogram revealed no valve ring or septal abscesses. The heart block persisted despite antibiotic therapy and an epicardial pacemaker was placed. This is a rare presentation of high-grade AV block with tricuspid endocarditis in the absence of echocardiographic evidence of perivalvular extension of infection. Also, unique in this case is the finding of E. faecalis hematogenous vertebral osteomyelitis.
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spelling pubmed-46775892016-01-05 Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review Agu, Chidozie Charles Salhan, Divya Bakhit, Ahmed Basheer, Hiba Basunia, Md Bhattarai, Bikash Oke, Vikram Schmidt, Marie Frances Dufresne, Alix J Community Hosp Intern Med Perspect Case Report We present a case of a middle-aged male who manifested with low-grade fever and lower back pain. MRI and bone scan of the spine were suggestive of vertebral osteomyelitis. Blood cultures were persistently positive for Enterococcus faecalis and echocardiogram revealed tricuspid valve endocarditis. There was no history of IV drug use and urine toxicology was negative. EKG showed Mobitz type II AV block and a transesophageal echocardiogram revealed no valve ring or septal abscesses. The heart block persisted despite antibiotic therapy and an epicardial pacemaker was placed. This is a rare presentation of high-grade AV block with tricuspid endocarditis in the absence of echocardiographic evidence of perivalvular extension of infection. Also, unique in this case is the finding of E. faecalis hematogenous vertebral osteomyelitis. Co-Action Publishing 2015-12-11 /pmc/articles/PMC4677589/ /pubmed/26653699 http://dx.doi.org/10.3402/jchimp.v5.29689 Text en © 2015 Chidozie Charles Agu et al. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Agu, Chidozie Charles
Salhan, Divya
Bakhit, Ahmed
Basheer, Hiba
Basunia, Md
Bhattarai, Bikash
Oke, Vikram
Schmidt, Marie Frances
Dufresne, Alix
Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title_full Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title_fullStr Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title_full_unstemmed Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title_short Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review
title_sort tricuspid valve endocarditis complicated by mobitz type ii heart block – a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4677589/
https://www.ncbi.nlm.nih.gov/pubmed/26653699
http://dx.doi.org/10.3402/jchimp.v5.29689
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