Behçet's Syndrome Masquerading as Infective Endocarditis: A Diagnostic Conundrum and Therapeutic Challenge

Cardiovasc Pathol. 2024 Apr 20:107648. doi: 10.1016/j.carpath.2024.107648. Online ahead of print.

Abstract

This case report presents a 20-year-old male patient initially diagnosed with infective endocarditis, later correctly identified as Behçet's syndrome. The patient's complex clinical presentation, including chest pain, aortic dilation, severe aortic regurgitation, and aortic root abscess, posed significant diagnostic and therapeutic challenges. Despite initial misdiagnosis and treatment difficulties, the patient's condition significantly improved with appropriate immunosuppressive therapy, underscoring the potential for successful management of this complex condition. This case serves as a valuable reminder of the diagnostic challenges posed by Behçet's syndrome and the importance of considering this condition in patients presenting with symptoms suggestive of infective endocarditis.

Keywords: Behçet's Syndrome; Endocarditis; aortitis; multidisciplinary management.

Publication types

  • Case Reports