Case of the month: a 4-year-old girl with cardiac insufficiency and intermittent fever

Mroziński, Bartłomiej; Siwińska, Aldona; H, Górzna; Szelagowicz, B; Maciejewski, J

doi:10.1007/s004310050575

Cited by 3 publications

(2 citation statements)

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“…2 O presente caso parece ser o sexto de mixoma valvar mitral infectado relatado na literatura, preenchendo critérios definitivos para o diagnóstico, e o terceiro causado por um microrganismo do grupo HACEK (Tabela 1). [3][4][5][6][7][8] Dos 64 mixomas valvares mitrais publicados de 2006 a 2012, os sintomas eram cardiovasculares em 36,7%; 9,5 a 21,6% dos mixomas da válvula mitral foram submetidos à troca valvar e o tempo do diagnóstico até a cirurgia variou de algumas horas a 42 dias. 2,9 A mortalidade operatória e geral foi relatada como sendo, respectivamente, 2,6 a 3% e 5,1 a 21%.…”

Section: Resultsunclassified

Massa Valvar Mitral em Paciente com Suspeita de Lúpus Sistêmico: Tumor, Endocardite ou Ambos?

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Almeida

Amorim

et al. 2020

Arquivos Brasileiros De Cardiologia

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Resumo Apresentamos o relato de caso de uma paciente com mixoma valvar mitral infectado e uma revisão da literatura sobre o assunto. Uma mulher de 33 anos apresentou histórico de febre e dispneia com evolução de alguns dias. Na hospitalização, ela apresentava uma síndrome semelhante ao lúpus, com hemoculturas positivas para Haemophilus spp . O ecocardiograma revelou uma massa gigante envolvendo ambos os folhetos mitrais associada à regurgitação grave, necessitando de troca valvar mitral biológica. A microscopia revelou mixoma infectado e a paciente recebeu alta assintomática após o término da antibioticoterapia. Ela apresentou bons resultados no seguimento. Este é o sexto caso de mixoma valvar mitral infectado relatado na literatura e o terceiro caso de mixoma cardíaco infectado pelo grupo HACEK. Devido à alta incidência de eventos embólicos, a antibioticoterapia precoce aliada à pronta intervenção cirúrgica são decisivos para a redução da morbimortalidade. O tempo para o diagnóstico foi muito mais breve do que o geralmente relatado em casos de endocardite por HACEK. A troca valvar foi a intervenção mais comum e todos os pacientes em relatos de caso anteriores apresentaram bons resultados no seguimento.

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Section: Resultsunclassified

Massa Valvar Mitral em Paciente com Suspeita de Lúpus Sistêmico: Tumor, Endocardite ou Ambos?

Coutinho

Almeida

Amorim

et al. 2020

Arquivos Brasileiros De Cardiologia

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“…Symptoms of patients with a cardiac or heart valve myxoma could be constitutional including fever, weight loss and night sweat (Yuan, 2012a), but on rare occasions, patients may present with FUO (Mroziński et al, 1997;Yuan, 2017b;Yuan et al, 2017). The tumors had small sizes, the predilection of mitral leaflet location, solitary and pedicled nature, and good response to surgical resection (Yuan and Sternik, 2012).…”

Section: Cardiac Tumors 341 Cardiac and Heart Valve Myxomasmentioning

confidence: 99%

Cardiac and vascular causes of persistent fever: A systematic review

Yuan

2019

Rev. Cardiovasc. Med.

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Fever of unknown origin refers to a prolonged fever with an unknown cause despite adequate medical evaluations. This condition often leads to unnecessary extensive laboratory work-ups and antimicrobial therapies. The atypical presentations often cause a delayed diagnosis and an improper treatment with an increased morbidity rate. In cardiac surgical patients, fever of unknown origin remains an intriguing problem during the diagnostic process of cardiac surgical diseases. Cardiac myxoma or aortic dissection are often misdiagnosed when patients present with fever of unknown origin as an onset symptom. Under such circumstances, medical examinations by echocardiography and chest computed tomography, particularly fluorodeoxyglucose-positron emission tomography/computed tomography, have been proved crucial for early diagnosis. A better understanding of the clinical features of cardiac surgical disorders presenting with fever of unknown origin would facilitate early diagnosis of fever of unknown origin. A further decision-making of prompt treatment of choices of a cardiac operation is important for improving patients’ outcomes.

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Infected Cardiac Myxoma: Case Report and Literature Review

Revankar

Clark

1998

Medicine

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We present a case of a left atrial myxoma infected with Porphyromonas asaccharolytica in a 55-year-old man, successfully treated with surgical excision and a brief course of antibiotic therapy. Infected cardiac myxomas are extremely rare, with only 39 cases previously reported. They can be difficult to diagnose due to their protean clinical manifestations, which can often be seen in uninfected myxomas as well. We suggest that blood cultures and careful pathologic examination be performed in all cases of cardiac myxoma with constitutional symptoms. However, fever and elevated sedimentation rate are significantly more common in infected tumors. Organisms responsible are similar in distribution to those causing bacterial endocarditis. Emboli, though frequent, may not be more common in infected than uninfected myxomas. Case reports have become more common since the development of better diagnostic techniques. Echocardiography, especially by the transesophageal approach, is the diagnostic procedure of choice, and sensitivity approaches 100%. Surgical excision is curative and generally has low morbidity and mortality.

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Case of the month: a 4-year-old girl with cardiac insufficiency and intermittent fever

Abstract: Case of the month: a 4-year-old girl with cardiac insufficiency and intermittent fever Eur J Pediatr (1997) 156: 153 -154

Cited by 3 publications

References 5 publications

Massa Valvar Mitral em Paciente com Suspeita de Lúpus Sistêmico: Tumor, Endocardite ou Ambos?

Massa Valvar Mitral em Paciente com Suspeita de Lúpus Sistêmico: Tumor, Endocardite ou Ambos?

Cardiac and vascular causes of persistent fever: A systematic review

Infected Cardiac Myxoma: Case Report and Literature Review

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