First sign of native valve endocarditis in the COVID-19 pandemic: Acute arterial septic embolism in the lower extremity

Emre Kubat; Tuna Demirkıran; Murat Kadan; Gökhan Erol; Cengiz Bolcal

doi:10.54005/geneltip.1129438

Olgu Sunumu

First sign of native valve endocarditis in the COVID-19 pandemic: Acute arterial septic embolism in the lower extremity

Yıl 2022, Cilt: 32 Sayı: 4, 480 - 482, 31.08.2022

Emre Kubat Tuna Demirkıran Murat Kadan Gökhan Erol Cengiz Bolcal

https://doi.org/10.54005/geneltip.1129438

Öz

he clinical manifestations of infective endocarditis are variable. Late diagnosis of the disease can lead to clinical catastrophe and even death. Although its symptomatology is broad, the initial diagnosis can sometimes be made after complications, particularly during COVID-19 pandemic days. It should be noted that during the pandemic period, patients with mild infective endocarditis symptoms may be confused with covid 19 infection symptoms. In this report, we aim to present that lower extremity ischemia was the first sign of infective endocarditis in a 77-year-old female patient with complaints of sudden onset of pain and coldness in the leg. The patient underwent an embolectomy and embolic material of 1x1.5 cm was removed from the left common femoral artery.

Anahtar Kelimeler

infective endocarditis, embolus, surgery, limb ischemia, acute

Kaynakça

1. de Santis A, Siciliano RF, Sampaio RO, et al. Non-toxigenic Corynebacterium diphtheriae infective endocarditis with embolic events: a case report. BMC Infect Dis 2020;20:907.
2. Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998;98:2936-48.
3. Mahtabfar A, Eshraghi H, D'Souza M, Berrigan W, Casey K. A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis. Case Rep Med 2018;2018:9658120.
4. Fabri J Jr, Issa VS, Pomerantzeff PM, Grinberg M, Barretto AC, Mansur AJ. Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis. Int J Cardiol 2006;110:334-9.
5. Vilacosta I, Graupner C, San Román JA, et al Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol 2002;39:1489-95.
6. Attisani L, Pucci A, Luoni G, et al. COVID-19 and acute limb ischemia: a systematic review. J Cardiovasc Surg (Torino) 2021;62:542-547.
7. Obara H, Matsubara K, Kitagawa Y. Acute Limb Ischemia. Ann Vasc Dis 2018;11:443-448.

COVID-19 pandemisinde doğal kapak endokarditinin ilk belirtisi: Alt ekstremitede akut arteriyel septik emboli

Yıl 2022, Cilt: 32 Sayı: 4, 480 - 482, 31.08.2022

Emre Kubat Tuna Demirkıran Murat Kadan Gökhan Erol Cengiz Bolcal

https://doi.org/10.54005/geneltip.1129438

Öz

Enfektif endokarditin klinik belirtileri değişkendir. Hastalığın geç teşhisi klinik felaketlere ve hatta ölüme neden olabilir. Semptomolojisi geniş olmakla birlikte, özellikle COVID-19 pandemi günlerinde bazen ilk tanı komplikasyonlardan sonra konulabilir. Pandemi döneminde hafif enfektif endokardit semptomları olan hastaların covid 19 enfeksiyon semptomları ile karıştırılabileceğine dikkat edilmelidir. Bu raporda, bacağında ani başlayan ağrı ve soğukluk şikayeti ile başvuran 77 yaşındaki kadın hastada enfektif endokarditin ilk bulgusunun alt ekstremite iskemisi olan olguyu sunmayı amaçladık. Hastaya embolektomi yapıldı ve sol ana femoral arterden 1x1.5 cm'lik embolik materyal çıkarıldı.

Anahtar Kelimeler

enfektif endokardit, emboli, cerrahi, ekstremite iskemisi, akut

Kaynakça

1. de Santis A, Siciliano RF, Sampaio RO, et al. Non-toxigenic Corynebacterium diphtheriae infective endocarditis with embolic events: a case report. BMC Infect Dis 2020;20:907.
2. Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and management of infective endocarditis and its complications. Circulation 1998;98:2936-48.
3. Mahtabfar A, Eshraghi H, D'Souza M, Berrigan W, Casey K. A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis. Case Rep Med 2018;2018:9658120.
4. Fabri J Jr, Issa VS, Pomerantzeff PM, Grinberg M, Barretto AC, Mansur AJ. Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis. Int J Cardiol 2006;110:334-9.
5. Vilacosta I, Graupner C, San Román JA, et al Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol 2002;39:1489-95.
6. Attisani L, Pucci A, Luoni G, et al. COVID-19 and acute limb ischemia: a systematic review. J Cardiovasc Surg (Torino) 2021;62:542-547.
7. Obara H, Matsubara K, Kitagawa Y. Acute Limb Ischemia. Ann Vasc Dis 2018;11:443-448.

Toplam 7 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Klinik Tıp Bilimleri
Bölüm	Case Report
Yazarlar	Emre Kubat 0000-0002-9884-8565 Tuna Demirkıran 0000-0001-5254-3339 Murat Kadan 0000-0002-3385-7823 Gökhan Erol 0000-0003-4632-2606 Cengiz Bolcal 0000-0003-4191-6122
Yayımlanma Tarihi	31 Ağustos 2022
Gönderilme Tarihi	20 Haziran 2022
Yayımlandığı Sayı	Yıl 2022 Cilt: 32 Sayı: 4

Kaynak Göster

Vancouver	Kubat E, Demirkıran T, Kadan M, Erol G, Bolcal C. First sign of native valve endocarditis in the COVID-19 pandemic: Acute arterial septic embolism in the lower extremity. Genel Tıp Derg. 2022;32(4):480-2.