Multivalvular Endocarditis Involving 3 Valves in a Nonsurgical Candidate

J Investig Med High Impact Case Rep. 2020 Jan-Dec:8:2324709620936855. doi: 10.1177/2324709620936855.

Abstract

Infective endocarditis is associated with high morbidity and mortality. Hence, early diagnosis and prompt intervention is crucial. Multivalvular endocarditis involving 3 or more valves is rarely reported with little information regarding best management or prognosis, particularly in nonsurgical patients. Conflicting guidelines regarding medical versus surgical treatment in multivalvular endocarditis exist with few studies describing the outcome of medically managed patients. We report the case of a previously healthy male presenting with infective endocarditis involving 3 valves further complicated by multiple septic emboli and deemed a nonsurgical candidate.

Keywords: emboli; endocarditis; management; multivalvular; trivalvular.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Embolism / diagnosis
  • Embolism / microbiology
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / drug therapy*
  • Endocarditis, Bacterial / microbiology
  • Heart Valves / microbiology*
  • Humans
  • Male
  • Middle Aged
  • Streptococcus mutans / isolation & purification*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents