Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography

Aortic root abscess in patients with aortic endocarditis is not uncommon. Aortic root abscess may cause persistent sepsis, worsening heart failure, conduction abnormalities, fistula formation, and an increased need for surgery. We present a young patient with aortic root abscess presenting as pyrexi...

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Main Author: Prashanth Panduranga
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2013/636519
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author Prashanth Panduranga
author_facet Prashanth Panduranga
author_sort Prashanth Panduranga
collection DOAJ
description Aortic root abscess in patients with aortic endocarditis is not uncommon. Aortic root abscess may cause persistent sepsis, worsening heart failure, conduction abnormalities, fistula formation, and an increased need for surgery. We present a young patient with aortic root abscess presenting as pyrexia of unknown origin. She had acute severe aortic and mitral regurgitation which produced very soft murmurs that were easily missed. This report reiterates that a high index of suspicion is needed in suspecting valvular endocarditis as well as a comprehensive transthoracic and transesophageal echocardiographic examination to diagnose complications like aortic root abscess.
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spelling doaj-art-63ad90e2fa8b46918608698967994ab42025-02-03T05:51:37ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/636519636519Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of EchocardiographyPrashanth Panduranga0Department of Cardiology, Royal Hospital, PB 1331, 111 Muscat, OmanAortic root abscess in patients with aortic endocarditis is not uncommon. Aortic root abscess may cause persistent sepsis, worsening heart failure, conduction abnormalities, fistula formation, and an increased need for surgery. We present a young patient with aortic root abscess presenting as pyrexia of unknown origin. She had acute severe aortic and mitral regurgitation which produced very soft murmurs that were easily missed. This report reiterates that a high index of suspicion is needed in suspecting valvular endocarditis as well as a comprehensive transthoracic and transesophageal echocardiographic examination to diagnose complications like aortic root abscess.http://dx.doi.org/10.1155/2013/636519
spellingShingle Prashanth Panduranga
Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
Case Reports in Critical Care
title Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
title_full Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
title_fullStr Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
title_full_unstemmed Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
title_short Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography
title_sort aortic root abscess presenting as pyrexia of unknown origin and the importance of echocardiography
url http://dx.doi.org/10.1155/2013/636519
work_keys_str_mv AT prashanthpanduranga aorticrootabscesspresentingaspyrexiaofunknownoriginandtheimportanceofechocardiography