Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis
Multivalvular endocarditis (MVE) is an uncommon presentation and mostly involves mitral and aortic valves. Here, we present a case of an MVE with an unusual and bizarre presentation on a Halloween night with a massive degree of valve destruction and right- and left-side involvement requiring emerge...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2025-01-01
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| Series: | Monaldi Archives for Chest Disease |
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| Online Access: | https://www.monaldi-archives.org/macd/article/view/3228 |
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| _version_ | 1832591144699035648 |
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| author | Margarida Castro Mariana Tinoco Rafael Martins Mário Jorge Amorim Luísa Pinheiro Marina Fernandes Filipa Cardoso Filipa Almeida Paulo Pinho João Português António Lourenço |
| author_facet | Margarida Castro Mariana Tinoco Rafael Martins Mário Jorge Amorim Luísa Pinheiro Marina Fernandes Filipa Cardoso Filipa Almeida Paulo Pinho João Português António Lourenço |
| author_sort | Margarida Castro |
| collection | DOAJ |
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Multivalvular endocarditis (MVE) is an uncommon presentation and mostly involves mitral and aortic valves. Here, we present a case of an MVE with an unusual and bizarre presentation on a Halloween night with a massive degree of valve destruction and right- and left-side involvement requiring emergent surgery. A 51-year-old male patient with intravenous drug usage presented with anorexia, fever, and dyspnea, rapidly progressing to septic shock with multiorgan dysfunction. Initial blood cultures detected meticillin-sensitive Staphylococcus aureus, and antibiotic therapy was started. Transesophageal echocardiography revealed extensive valve destruction of both mitral and tricuspid valves, namely a mitral valve with large vegetation resembling a ghostly figure, causing severe mitral regurgitation. The patient was transferred for emergent mitral and tricuspid surgery. The particularity of this case, besides the bizarre images, is that, as a drug user, there are specific considerations regarding surgical strategy and options in this scenario that we discussed here.
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| format | Article |
| id | doaj-art-0d7102eb1aa04164a72cfe90af4591fd |
| institution | Kabale University |
| issn | 1122-0643 2532-5264 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Monaldi Archives for Chest Disease |
| spelling | doaj-art-0d7102eb1aa04164a72cfe90af4591fd2025-01-23T01:39:28ZengPAGEPress PublicationsMonaldi Archives for Chest Disease1122-06432532-52642025-01-0110.4081/monaldi.2025.3228Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditisMargarida Castro0https://orcid.org/0000-0002-4843-935XMariana Tinoco1Rafael Martins2https://orcid.org/0000-0001-5062-8849Mário Jorge Amorim3https://orcid.org/0000-0002-4159-4023Luísa Pinheiro4Marina Fernandes5Filipa Cardoso6Filipa Almeida7Paulo Pinho8João Português9António Lourenço10Cardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiothoracic Surgery Department, Local Health Unit of São João, PortoCardiothoracic Surgery Department, Local Health Unit of São João, PortoCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiothoracic Surgery Department, Local Health Unit of São João, PortoCardiology Department, Local Health Unit of Alto Ave, GuimarãesCardiology Department, Local Health Unit of Alto Ave, Guimarães Multivalvular endocarditis (MVE) is an uncommon presentation and mostly involves mitral and aortic valves. Here, we present a case of an MVE with an unusual and bizarre presentation on a Halloween night with a massive degree of valve destruction and right- and left-side involvement requiring emergent surgery. A 51-year-old male patient with intravenous drug usage presented with anorexia, fever, and dyspnea, rapidly progressing to septic shock with multiorgan dysfunction. Initial blood cultures detected meticillin-sensitive Staphylococcus aureus, and antibiotic therapy was started. Transesophageal echocardiography revealed extensive valve destruction of both mitral and tricuspid valves, namely a mitral valve with large vegetation resembling a ghostly figure, causing severe mitral regurgitation. The patient was transferred for emergent mitral and tricuspid surgery. The particularity of this case, besides the bizarre images, is that, as a drug user, there are specific considerations regarding surgical strategy and options in this scenario that we discussed here. https://www.monaldi-archives.org/macd/article/view/3228Infective endocarditisreconstructive valvular surgeryStaphylococcus aureusembolic risk |
| spellingShingle | Margarida Castro Mariana Tinoco Rafael Martins Mário Jorge Amorim Luísa Pinheiro Marina Fernandes Filipa Cardoso Filipa Almeida Paulo Pinho João Português António Lourenço Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis Monaldi Archives for Chest Disease Infective endocarditis reconstructive valvular surgery Staphylococcus aureus embolic risk |
| title | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
| title_full | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
| title_fullStr | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
| title_full_unstemmed | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
| title_short | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
| title_sort | ghostly intrusion on a frightful halloween night a case report of dual valve endocarditis |
| topic | Infective endocarditis reconstructive valvular surgery Staphylococcus aureus embolic risk |
| url | https://www.monaldi-archives.org/macd/article/view/3228 |
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