Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report

A 72-year-old man with end-stage renal disease and who was on dialysis was admitted with fever and chills. Two years previously, he had been diagnosed with caseous calcification of the mitral annulus (CCMA). Blood cultures revealed Staphylococcus aureus, and echocardiography revealed vegetation atta...

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Autores principales: Ono, Masafumi, Mizuno, Atsushi, Masuda, Keita, Suzuki, Koyu, Abe, Kohei, Kawazoe, Kohei, Komiyama, Nobuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919854/
https://www.ncbi.nlm.nih.gov/pubmed/29269657
http://dx.doi.org/10.2169/internalmedicine.9520-17
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author Ono, Masafumi
Mizuno, Atsushi
Masuda, Keita
Suzuki, Koyu
Abe, Kohei
Kawazoe, Kohei
Komiyama, Nobuyuki
author_facet Ono, Masafumi
Mizuno, Atsushi
Masuda, Keita
Suzuki, Koyu
Abe, Kohei
Kawazoe, Kohei
Komiyama, Nobuyuki
author_sort Ono, Masafumi
collection PubMed
description A 72-year-old man with end-stage renal disease and who was on dialysis was admitted with fever and chills. Two years previously, he had been diagnosed with caseous calcification of the mitral annulus (CCMA). Blood cultures revealed Staphylococcus aureus, and echocardiography revealed vegetation attached to the CCMA lesion, progressing to both the anterior and posterior annulus. Infective endocarditis (IE) was diagnosed and antibiotic (ampicillin) treatment was initiated. Emergent mitral valve replacement was performed after the occurrence of multiple cerebral infarctions. During surgery, we identified vegetation attached to the CCMA lesion. After surgery, the patient showed a good recovery and was discharged. This case demonstrates that IE can be complicated with CCMA.
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spelling pubmed-59198542018-04-27 Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report Ono, Masafumi Mizuno, Atsushi Masuda, Keita Suzuki, Koyu Abe, Kohei Kawazoe, Kohei Komiyama, Nobuyuki Intern Med Case Report A 72-year-old man with end-stage renal disease and who was on dialysis was admitted with fever and chills. Two years previously, he had been diagnosed with caseous calcification of the mitral annulus (CCMA). Blood cultures revealed Staphylococcus aureus, and echocardiography revealed vegetation attached to the CCMA lesion, progressing to both the anterior and posterior annulus. Infective endocarditis (IE) was diagnosed and antibiotic (ampicillin) treatment was initiated. Emergent mitral valve replacement was performed after the occurrence of multiple cerebral infarctions. During surgery, we identified vegetation attached to the CCMA lesion. After surgery, the patient showed a good recovery and was discharged. This case demonstrates that IE can be complicated with CCMA. The Japanese Society of Internal Medicine 2017-12-21 2018-04-01 /pmc/articles/PMC5919854/ /pubmed/29269657 http://dx.doi.org/10.2169/internalmedicine.9520-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ono, Masafumi
Mizuno, Atsushi
Masuda, Keita
Suzuki, Koyu
Abe, Kohei
Kawazoe, Kohei
Komiyama, Nobuyuki
Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title_full Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title_fullStr Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title_full_unstemmed Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title_short Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report
title_sort infective endocarditis on caseous calcification of the mitral annulus involving both the anterior and posterior annulus: a rare case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919854/
https://www.ncbi.nlm.nih.gov/pubmed/29269657
http://dx.doi.org/10.2169/internalmedicine.9520-17
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