Hussain Fahad, Moazez Carmel, Reddy Revati, Yatskowitz Jerome, Garcia Mark, Schevchuck Alex
Internal Medicine, Northwell Health, Manhasset, USA.
Internal Medicine, University of New Mexico, Albuquerque, USA.
Cureus. 2023 Jul 10;15(7):e41654. doi: 10.7759/cureus.41654. eCollection 2023 Jul.
Endocarditis involving multiple valves is a relatively rare phenomenon, and much about its etiology, prognosis, and best practices for treatment remains uncharacterized. Currently, the treatment of multiple-valve endocarditis is similar to that of single-valve endocarditis. However, limited data suggest that patients may potentially benefit from different treatment approaches not yet clearly defined. Here, we present a unique case of a 22-year-old female with a history of aortic coarctation repair and a ventricular septal defect (VSD) patch repair who presented to the emergency department (ED) after acute onset of fever, chills, nausea, vomiting, and diarrhea. The patient was admitted to the ICU with septic shock and was found to have concurrent mitral valve, tricuspid valve, and VSD patch endocarditis. We discussed her hospital course and treatment as well as current treatment approaches to multiple-valve endocarditis.
累及多个瓣膜的感染性心内膜炎是一种相对罕见的现象，其病因、预后及最佳治疗方法仍有很多未明确。目前，多瓣膜感染性心内膜炎的治疗与单瓣膜感染性心内膜炎相似。然而，有限的数据表明患者可能从尚未明确界定的不同治疗方法中潜在获益。在此，我们报告一例独特病例，一名22岁女性，有主动脉缩窄修复术及室间隔缺损（VSD）修补术病史，在急性发热、寒战、恶心、呕吐及腹泻发作后就诊于急诊科（ED）。该患者因感染性休克入住重症监护病房（ICU），并被发现同时患有二尖瓣、三尖瓣及VSD修补处感染性心内膜炎。我们讨论了她的住院过程及治疗情况，以及目前多瓣膜感染性心内膜炎的治疗方法。
