Bloqueo trifascicular paroxístico secundario a endocarditis infecciosa sobre válvula tricúspide

Tricuspid valve endocarditis complicated by Mobitz type II heart block – a case report and literature review

“…TVE in our case was not associated with traditional risk factors such as IV drug use, pacemakers, central venous catheters, or congenital heart disease. New conduction abnormalities are generally an uncommon manifestation of native valve endocarditis ( 2 ). They tend to occur in only about 9% of cases and are associated with worse prognosis and higher mortality ( 2 , 4 ).…”

“…New conduction abnormalities are generally an uncommon manifestation of native valve endocarditis ( 2 ). They tend to occur in only about 9% of cases and are associated with worse prognosis and higher mortality ( 2 , 4 ). Patients with persistent conduction abnormalities despite antibiotic therapy have even poorer prognosis than those with transient conduction abnormalities ( 4 ).…”

“…Patients with persistent conduction abnormalities despite antibiotic therapy have even poorer prognosis than those with transient conduction abnormalities ( 4 ). They are commonly believed to be caused by spread of infection beyond the free valve area, involving the conduction pathways and thus are generally associated with perivalvular complications ( 2 , 5 ). High-grade AV blocks are most commonly associated with left-sided endocarditis (aortic, 36%; mitral, 33%) and very rarely with tricuspid endocarditis ( 2 , 4 ).…”

“…It may be complicated with septicemia, tricuspid valve regurgitation, right heart failure, and pulmonary emboli phenomena (occur in 80% of these cases and vary from infiltrates, which may cavitate, and pleural effusions involving the lower lobes) ( 1 ). It is rarely associated with conduction abnormalities ( 2 ). Hematogenous osteomyelitis may be observed in association with infective endocarditis; however, this is uncommon when the isolated organism is Enterococcus spp.…”

Hypersensitivity reactions to modern antiplatelet and anticoagulant drugs

“…Isolated cases of serum sickness-like disease [ 12 ], suberythrodermic pustular psoriasis [ 13 ], acute generalized exanthematous pustulosis (AGEP) [ 14 ] and leukocytoclastic vasculitis [ 15 , 16 ] are known – often with good tolerance of prasugrel, which generally appears to elicit fewer hypersensitivity reactions. Prasugrel is known to have caused immediate-type allergic reactions involving urticaria, pruritus, angioedema and dyspnea, as well as one case of hepatitis with pyrexia [ 17 ].…”