Native-valve endocarditis detected by point-of-care echocardiography

BACKGROUND: Infective endocarditis carries a high morbidity and mortality; therefore, a rapid diagnosis and timely treatment is crucial to improve outcomes. Diagnosis of infective endocarditis is supported on echocardiogram findings. CASE PRESENTATION: An adult male with history of long-term hemodialysis, presented with embolic manifestations (cerebral, skin) and fever. A large vegetation in the mitral valve and other in the tricuspid valve were detected by point-of-care transthoracic echocardiogram, while blood cultures subsequently resulted positive for methicillin-resistant Staphylococcus aureus. Despite therapeutic efforts, the patient developed into an irreversible shock and died. CONCLUSIONS: Point-of-care echocardiogram has a pivotal role in diagnosis and decision-making of infective endocarditis. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13089-022-00294-2.