Abdulmajeed Mohamed, Thayaparan Kunaratnam, Ali Abdirashid
General Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.
Cureus. 2024 Nov 27;16(11):e74553. doi: 10.7759/cureus.74553. eCollection 2024 Nov.
Infective endocarditis commonly presents with fever, malaise, fatigue, and chest pain. However, this case report details an atypical presentation of infective endocarditis when a 63-year-old male patient was referred by his general practitioner to the emergency department with shortness of breath and substantial weight loss to investigate his symptomatic anemia. His initial assessments revealed severe iron deficiency anemia without any gastrointestinal or any other source of bleeding. Further investigations demonstrated that the patient suffered from infective endocarditis caused by a rare causative organism, . Hence, our case report highlights the atypical presentation and the rare organism in addition to the possibility of close association between iron deficiency anemia and subacute bacterial endocarditis. The patient was managed by culture-guided intravenous antibiotics and discharged after serial negative cultures.
感染性心内膜炎通常表现为发热、不适、疲劳和胸痛。然而,本病例报告详细描述了一例感染性心内膜炎的非典型表现,一名63岁男性患者被全科医生转诊至急诊科,因呼吸急促和体重显著减轻来调查其症状性贫血。他的初步评估显示为严重缺铁性贫血,无任何胃肠道或其他出血来源。进一步检查表明,该患者患有由一种罕见病原体引起的感染性心内膜炎。因此,我们的病例报告除了强调缺铁性贫血与亚急性细菌性心内膜炎之间可能存在密切关联外,还突出了非典型表现和罕见病原体。该患者接受了根据培养结果指导的静脉抗生素治疗,在连续培养结果为阴性后出院。