Surinfection d’une endocardite de Libman-Sacks chez une patiente lupique: rapport de cas

Libman-Sacks endocarditis is an uncommon cardiac manifestation of lupus, characterized by noninfective heart valve vegetations. Most patients are asymptomatic. However, clinical manifestations of acute forms can mimic infectious endocarditis and complicate both differential diagnosis and treatment....

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Detalles Bibliográficos
Autores principales: Tchibinda, Nuance Divine Tchiloemba, Coulibaly, Fatimatou Zahra, Mamadou, Chimène Willer Kitihoun, Bennani, Rajae, Fellat, Nadia, Fellat, Rokya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9636740/
https://www.ncbi.nlm.nih.gov/pubmed/36405651
http://dx.doi.org/10.11604/pamj.2022.42.278.34205
Descripción
Sumario:Libman-Sacks endocarditis is an uncommon cardiac manifestation of lupus, characterized by noninfective heart valve vegetations. Most patients are asymptomatic. However, clinical manifestations of acute forms can mimic infectious endocarditis and complicate both differential diagnosis and treatment. We here report the case of a 28-year-old female patient with lupus erythematosus followed up from 2018. She had signs and symptoms supporting the diagnosis of infective endocarditis. Assessments allowed for the diagnosis of superinfection Libman-Sacks endocarditis. The patient died despite the combination of bi-antibiotic therapy and corticosteroids.

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