Unsolved Controversies in Management of Infective Endocarditis

Cureus. 2024 Apr 12;16(4):e58095. doi: 10.7759/cureus.58095. eCollection 2024 Apr.

Abstract

Infective endocarditis (IE) is defined as an infection in the cardiac endothelium. It is triggered by both bacteremia and endothelial dysfunction and poses many risks to the health of the patient. Many organisms can cause IE with Staphylococcus aureus being the major cause. Signs and symptoms may vary according to age and agent but almost all cases are presented with fever, fatigue, and a maculopapular rash. Although pediatric IE is very rare, risk factors such as congenital heart defects have been identified, with some of the cases remaining a mystery. We present a case of a 19-year-old patient, previously healthy and developing subacute IE with sepsis and septic embolic showers in multiple organs. IE cannot be taken for granted as mortality is high, hence a multidisciplinary approach is prompt and necessary for the survival of the patient.

Keywords: infective endocarditis; mitral chordae rupture; mitral valve surgery; pediatric infection; s aureus.

Publication types

  • Case Reports