Subacute infective endocarditis presenting with an isolated splenic infarction

Baroudi, Maen MHD; sabra, Mohamed Kamal; Abuzaid, Hassan; Alhussein, Hussein; Alkhalaila, Osama; Habib, Mhd Baraa

doi:10.1016/j.idcr.2023.e01752

Cited by 2 publications

References 18 publications

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First Observation of Splenic Infarction attributed to Infective Endocarditis in Pregnant Women with a History of MVR: A Case Report

Cao,

Shi,

2024

Preprint

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Background: Infective endocarditis (IE) is a rare disease that occurs during pregnancy. The incidence of embolic complications associated with IE is high, reaching up to 50%, with spleen being the most commonly affected organ at 32.8%. Despite this, there is a significant global lack of reports on splenic infarction (SI) resulting from IE during pregnancy. Case presentation: A 33-year-old pregnant woman was admitted to our hospital at 29 3/7 weeks' gestation, presenting with symptoms of hyperpyrexia, abdominal pain, and diarrhea. She had undergone mechanical MVR due to rheumatic heart disease and had been on warfarin therapy for a duration of nine years. Our initial diagnosis was gastroenteritis. During her hospitalization, she experienced mild and persistent left upper quadrant abdominal pain. Abdominal ultrasound suggested a potential splenic infarction. However, transthoracic echocardiography and transesophageal echocardiography confirmed normal mechanical valve function without any vegetation findings. We administered anti-inflammatory and anti-coagulation treatments. The patient unexpectedly terminated the pregnancy via cesarean section due to PROM. Warfarin was retained prior to the surgery and resumed post-surgery. Additionally, therapy with IH low-molecular-weight heparin was administered, a strategy known as bridging strategy. Conclusion: Pregnant women with a history of MVR can develop IE. Although the occurrence is rare, these individuals are at potential risk for splenic infarction when undergoing anticoagulant therapy. The management approach during pregnancy requires a collaborative effort from multidisciplinary team and must be tailored to the individual patient.

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First Observation of Splenic Infarction attributed to Infective Endocarditis in Pregnant Women with a History of MVR: A Case Report

Cao,

Shi,

2024

Preprint

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Unusual Case of Acute Abdomen in a Patient on Maintenance Hemodialysis

Dudani,

Herur,

Bukka

et al. 2023

Indian Journal of Kidney Diseases

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Acute abdominal pain is not a frequent presentation in the emergency department in patients on maintenance hemodialysis (HD). Common causes of acute abdomen in these patients are bowel infarction, pancreatitis, and peritonitis. Splenic infarction presenting as acute abdomen is a rare entity. We report a case where a 38-year-old female on HD presented with acute abdomen and was found to have splenic infarction. On further evaluation, she was found to have infective endocarditis of the aortic valve as a complication of catheter-related bloodstream infection due to nontunneled catheter. The management of the patient comprised of prompt removal of catheter and intravenous antibiotics.

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Subacute infective endocarditis presenting with an isolated splenic infarction

Cited by 2 publications

References 18 publications

First Observation of Splenic Infarction attributed to Infective Endocarditis in Pregnant Women with a History of MVR: A Case Report

First Observation of Splenic Infarction attributed to Infective Endocarditis in Pregnant Women with a History of MVR: A Case Report

Unusual Case of Acute Abdomen in a Patient on Maintenance Hemodialysis

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