Cargando…
A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction
Diabetic ketoacidosis (DKA) is a serious life-threatening complication of diabetes, often precipitated by infection. Infective endocarditis (IE) is a serious precipitating factor for DKA, especially in patients with a previous cardiac surgery or valvular pathology. IE can be further complicated by l...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575144/ https://www.ncbi.nlm.nih.gov/pubmed/36262944 http://dx.doi.org/10.7759/cureus.29254 |
_version_ | 1784811260324347904 |
---|---|
author | Vinod, Vijay C Farhana, Umme Waring, Scott Mlawa, Gideon |
author_facet | Vinod, Vijay C Farhana, Umme Waring, Scott Mlawa, Gideon |
author_sort | Vinod, Vijay C |
collection | PubMed |
description | Diabetic ketoacidosis (DKA) is a serious life-threatening complication of diabetes, often precipitated by infection. Infective endocarditis (IE) is a serious precipitating factor for DKA, especially in patients with a previous cardiac surgery or valvular pathology. IE can be further complicated by life-threatening embolic events, which could be fatal if not detected and managed early and effectively. Our patient is a 54-year-old diabetic who presented with DKA precipitated by native aortic valve endocarditis complicated by an aortic root abscess, which was further complicated by septic emboli to the splenic artery and superior mesenteric artery leading to splenic infarction and bowel ischemia, respectively. To our knowledge and as per the literature reviewed, no case has been reported in a single patient who presented with DKA precipitated by IE complicated by aortic root abscess and multiple septic emboli resulting in bowel ischemia and splenic infarction. |
format | Online Article Text |
id | pubmed-9575144 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-95751442022-10-18 A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction Vinod, Vijay C Farhana, Umme Waring, Scott Mlawa, Gideon Cureus Cardiology Diabetic ketoacidosis (DKA) is a serious life-threatening complication of diabetes, often precipitated by infection. Infective endocarditis (IE) is a serious precipitating factor for DKA, especially in patients with a previous cardiac surgery or valvular pathology. IE can be further complicated by life-threatening embolic events, which could be fatal if not detected and managed early and effectively. Our patient is a 54-year-old diabetic who presented with DKA precipitated by native aortic valve endocarditis complicated by an aortic root abscess, which was further complicated by septic emboli to the splenic artery and superior mesenteric artery leading to splenic infarction and bowel ischemia, respectively. To our knowledge and as per the literature reviewed, no case has been reported in a single patient who presented with DKA precipitated by IE complicated by aortic root abscess and multiple septic emboli resulting in bowel ischemia and splenic infarction. Cureus 2022-09-17 /pmc/articles/PMC9575144/ /pubmed/36262944 http://dx.doi.org/10.7759/cureus.29254 Text en Copyright © 2022, Vinod et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiology Vinod, Vijay C Farhana, Umme Waring, Scott Mlawa, Gideon A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title | A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title_full | A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title_fullStr | A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title_full_unstemmed | A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title_short | A Rare and Interesting Presentation of Diabetic Ketoacidosis Caused by Native Aortic Valve Endocarditis Complicated by Aortic Root Abscess Resulting in Multiple Septic Emboli Causing Bowel Ischemia and Splenic Infarction |
title_sort | rare and interesting presentation of diabetic ketoacidosis caused by native aortic valve endocarditis complicated by aortic root abscess resulting in multiple septic emboli causing bowel ischemia and splenic infarction |
topic | Cardiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575144/ https://www.ncbi.nlm.nih.gov/pubmed/36262944 http://dx.doi.org/10.7759/cureus.29254 |
work_keys_str_mv | AT vinodvijayc arareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT farhanaumme arareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT waringscott arareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT mlawagideon arareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT vinodvijayc rareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT farhanaumme rareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT waringscott rareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction AT mlawagideon rareandinterestingpresentationofdiabeticketoacidosiscausedbynativeaorticvalveendocarditiscomplicatedbyaorticrootabscessresultinginmultiplesepticembolicausingbowelischemiaandsplenicinfarction |