Triple-Valve Infective Endocarditis: A Case with Unusual Features
  • Inês Oliveira
    Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Gisela Vasconcelos
    Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Bruno Bragança
    Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Margarida Cruz
    Internal Medicine Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Glória Abreu
    Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • João Azevedo
    Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
  • Aurora Andrade
    Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal

Keywords

Triple-valve endocarditis, Streptococcus gallolyticus, infective endocarditis

Abstract

Infective endocarditis is a condition associated with high morbidity and mortality, usually with univalvular involvement. We describe the case of a 76-year-old woman with triple-valve endocarditis due to Streptococcus gallolyticus complicated by perivalvular suppurative lesions, acute heart failure and acute kidney injury. Unfortunately, the patient died despite antibiotic therapy and emergent surgery. This case highlights uncommon triple-valve involvement in the absence of risk factors, posing a diagnostic and therapeutic challenge.

VIEW THE ENTIRE ARTICLE

References

  • Selton-Suty C, Doco-Lecompte T, Bernard Y, Duval X, Letranchant L, Delahaye F, et al. Clinical and microbiologic features of multivalvular endocarditis. Curr Infect Dis Rep 2010;12(4):237–243.
  • Kadado AJ, Grewal V, Feghali K, Hernandez-Montfort J. Triple-valve endocarditis in a diabetic patient: case report and literature review. Curr Cardiol Rev 2018;14(3):217–224.
  • Barcelos AM, Teixeira MA, Alves LS, Vieira MA, Bedim ML, Ribeiro NA. Endocardite infecciosa por Streptococcus bovis em paciente com carcinoma colônico. Arq Bras Cardiol 2010;95:e88–e90.
  • Zammit SC, Azzopardi N, Ellul P. Streptococcus gallolyticus bacteraemia in hepatobiliary–pancreatic and colonic pathologies. QJM 2013;107(5):355–361.
  • Mihaljevic T, Byrne JG, Cohn LH, Aranki SF. Long-term results of multivalve surgery for infective multivalve endocarditis. Eur J Cardiothorac Surg 2001;20(4):842–846.
  • Kim N, Lazar JM, Cunha BA, Liao W, Minnaganti V. Multi-valvular endocarditis. Clin Microbiol Infect 2000;6(4):207–212.

    • Views: 327
    HTML downloads: 46
    PDF downloads: 215

    Published: 2022-04-27
    Issue: 2022: Vol 9 No 4 (view)

    How to cite:
    1.
    Oliveira I, Vasconcelos G, Bragança B, Cruz M, Abreu G, Azevedo J, Andrade A. Triple-Valve Infective Endocarditis: A Case with Unusual Features. EJCRIM 2022;9 doi:10.12890/2022_003350.