A Rare Case of Successfully Treated Double Valve Infective Endocarditis Caused by Pseudomonas aeruginosa

Tomoaia, Raluca; Oprea, Alexandru; Sandu, Irina; Danu, Vlad; Pop, Dana; Zdrenghea, Dumitru; Dădârlat-Pop, Alexandra; Minciună, Ioan Alexandru; Chetan, Ioana Maria; Hada, Nicoleta Cosmina; Beyer, Ruxandra

doi:10.3390/ijms231911127

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…Bilateral IE may be related to congenital heart diseases or defects, intra-cardiac devices, or repeated injections by drug users [22,37,41]. There are few cases of right-and left-sided MVE in the literature [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. In addition to our patient, we have found in the literature another 21 clinical cases, which are outlined in Table 1.…”

Section: Discussionmentioning

confidence: 66%

“…We included all the papers that met the following criteria: We identified 1699 studies reporting data on MVE (Figure 2). Among them, 20 papers reported 21 clinical cases on bilateral MVE [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32]. Table 1 describes demographic, clinical, and microbiological characteristics as well as the prognosis of the 21 clinical cases identified and of our case.…”

Section: Review Of the Literaturementioning

confidence: 99%

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An Unusual Case of a Double Tricuspid and Mitral Valves Infective Endocarditis Complicated by Multiple Septic Embolisms Secondary to an Atrial Septal Defect: A Case Report and Review of Literature

Monari,

Molinari,

Cornelli

et al. 2023

Infectious Disease Reports

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Multivalvular endocarditis (MVE) is an uncommon infection that mostly involves mitral and aortic valves, and it is related to a higher risk of congestive heart failure and a higher mortality. We described a case of a bilateral MVE and performed a review of the literature on similar clinical cases. We reported an unusual case of a 68-year-old male patient with a tricuspid and mitral infective endocarditis due to a methicillin-resistant Staphylococcus aureus complicated by multiple right- and left-sided septic embolization (lungs, brain, spleen, L2–L3 vertebral bones) due to an unknown atrial septal defect identified and repaired during cardiac surgery. Despite the severity of the clinical case, the patient experienced a good clinical outcome also thanks to a multidisciplinary approach. We identified 21 case reports describing bilateral MVE. A multidisciplinary approach is essential in the management of valve diseases to improve the prognosis of patients, especially in bilateral MVE.

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Section: Discussionmentioning

confidence: 66%

Section: Review Of the Literaturementioning

confidence: 99%

An Unusual Case of a Double Tricuspid and Mitral Valves Infective Endocarditis Complicated by Multiple Septic Embolisms Secondary to an Atrial Septal Defect: A Case Report and Review of Literature

Monari,

Molinari,

Cornelli

et al. 2023

Infectious Disease Reports

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“…Given that the tricuspid valve (TV) is anteriorly located, 3D TOE should yield a more accurate assessment than 2D TOE. Two studies 28,37 and a few case reports 38,39 assessed the potential advantages of 3D TOE in patients with the TV or cardiac device-related IE. One investigation showed that in 90% of patients, 3D TOE enabled the comprehensive examining of all TV leaflets and the subvalvular apparatus, while 2D TOE failed to detect vegetation in 50% of the patients.…”

Section: Right-sided Ie and Intracardiac Devicesmentioning

confidence: 99%

Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Tomoaia,

Beyer,

Dădârlat‐Pop

et al. 2023

Eur J Clin Investigation

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BackgroundDespite the availability of current antibiotic and surgical treatment options, infective endocarditis (IE) remains associated with a high mortality rate. Even though two‐dimensional (2D) transesophageal echocardiography (TOE) is a major criteria in the diagnosis of IE, it is constrained by the single‐plane orientation. Since three‐dimensional (3D) TOE provides a comprehensive understanding of the cardiac architecture by allowing for a realistic visualization of the underlying structures in 3D space, it has attracted considerable interest in recent years.AimThe purpose of this narrative review is to discuss the advantages and pitfalls of 3D TOE in patients with IE, as well as to address emerging photo‐realistic 3D techniques that have the potential to enhance the visualization of cardiac structures in this setting.ResultsAccording to recent research, 3D TOE acquisitions outperform 2D acquisitions in terms of vegetation identification accuracy and embolism risk assessment. By reporting a variety of findings that are missed with 2D TOE, but which are validated by surgical examination, 3D TOE further improves the ability to identify endocarditis complications on both native and prosthetic valves. In addition to conventional 3D TOE, future developments in 3D technology led to the development of transillumination and tissue‐transparency rendering, which may improve anatomical understanding and depth perception. Due to the use of both conventional and novel 3D techniques, there are more patients who require surgical intervention, indicating that 3D TOE may have a clinical relevance on the surgical management.Conclusion3D TOE might fill the gaps left by 2D TOE in the diagnosis of IE.

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“…Surgical interventions, such as the correction of congenital heart disease and the insertion of prosthetic valves or cardiac devices, including implantable cardioverters or pacemakers, have led to major changes in this condition. The involvement of native valves usually requires a damaged structure, and it commonly affects the mitral valve [ 4 , 5 , 6 ]. Rare presentations may include a concomitant infection of two valves [ 3 ], but studies and case reports have not described the simultaneous involvement of native and prosthetic valves.…”

Section: Introductionmentioning

confidence: 99%

Native and Prosthetic Simultaneously Double Valve Infective Endocarditis with Enterococcus faecalis—Case-Based Review

Haliga

Șorodoc

Morăraşu

et al. 2023

JPM

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Infective endocarditis is a severe infective heart disease, commonly involving native or prosthetic valves. It frequently presents with univalvular involvement and simultaneous double valve or multivalvular involvement is rarely described. The third leading cause of infective endocarditis worldwide is Enterococcus faecalis, which is associated with high mortality rates despite important advances in antimicrobial therapy. It develops secondary to enterococcal bacteremia, with its origin from the gastrointestinal or genitourinary tract and predominantly affecting the elderly population with multiple comorbidities. Clinical presentation is usually less typical, and the treatment is challenging. It can be marked by antibiotic resistance, side effects, and subsequent complications. Surgical treatment can be considered if deemed appropriate. To the best of our knowledge, we present the first case-based narrative review of Enterococcus faecalis double valve endocarditis involving both the aortic native and prosthetic mitral valve, highlighting the clinical characteristics, treatment, and complications of this condition.

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A Rare Case of Successfully Treated Double Valve Infective Endocarditis Caused by Pseudomonas aeruginosa

Cited by 4 publications

References 14 publications

An Unusual Case of a Double Tricuspid and Mitral Valves Infective Endocarditis Complicated by Multiple Septic Embolisms Secondary to an Atrial Septal Defect: A Case Report and Review of Literature

An Unusual Case of a Double Tricuspid and Mitral Valves Infective Endocarditis Complicated by Multiple Septic Embolisms Secondary to an Atrial Septal Defect: A Case Report and Review of Literature

Novel 3D versus traditional transesophageal echocardiography techniques: Defining differences in the diagnosis of infective endocarditis

Native and Prosthetic Simultaneously Double Valve Infective Endocarditis with Enterococcus faecalis—Case-Based Review

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