Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis
| Title: | Ghostly intrusion on a frightful Halloween night: a case report of dual valve endocarditis |
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| Authors: | Margarida Castro, Mariana Tinoco, Rafael Martins, Mário Jorge Amorim, Luísa Pinheiro, Marina Fernandes, Filipa Cardoso, Filipa Almeida, Paulo Pinho, João Português, António Lourenço |
| Source: | Monaldi Archives for Chest Disease (2025) |
| Publisher Information: | PAGEPress Publications, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Medicine |
| Subject Terms: | Infective endocarditis, reconstructive valvular surgery, Staphylococcus aureus, embolic risk, Medicine |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1122-0643 2532-5264 |
| Relation: | https://www.monaldi-archives.org/macd/article/view/3228; https://doaj.org/toc/1122-0643; https://doaj.org/toc/2532-5264 |
| DOI: | 10.4081/monaldi.2025.3228 |
| Access URL: | https://doaj.org/article/0d7102eb1aa04164a72cfe90af4591fd |
| Accession Number: | edsdoj.0d7102eb1aa04164a72cfe90af4591fd |
| Database: | Directory of Open Access Journals |
| ISSN: | 11220643 25325264 |
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| DOI: | 10.4081/monaldi.2025.3228 |
| Published in: | Monaldi Archives for Chest Disease |
| Language: | English |