Takayasu Arteritis Initially Mimicking Infective Endocarditis

Alçelik, Aytekin; Karacay, Sevim; Hakyemez, İsmail Necati; Akin, Busra; Öztürk, Serkan; Savli, Haluk

doi:10.4084/mjhid.2011.040

Cited by 4 publications

(5 citation statements)

References 7 publications

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“…АТ может быть ошибочно диагностирован как ИЭ из-за схожих клинических симптомов (сердечный шум, лихорадка) в активную фазу заболевания [1]. Более того сам АТ может являться предрасполагающим фактором для ИЭ [2].…”

Section: Discussionunclassified

“…Возможные причины недостаточности аортального клапана (АК) включают: расширение корня аорты, рецидивирующее воспаление и формирование порока АК. В литературе описаны случаи, где АТ может быть ошибочно диагностирован как инфекционный эндокардит (ИЭ) [1]. Также АТ с длительной иммуносупрессивной терапией может быть предрасполагающим фактором для ИЭ [2].…”

Section: Introductionunclassified

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A Case Report of Differential Diagnosis of Causes of Severe Valvular Heart Disease (Takayasu's Arteritis, Infective Endocarditis and Myxomatous Degeneration) with the Key Role of Histological and PCR Examination

Pisaryuk

Kotova

Ageev

et al. 2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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Aortic valve lesion is a common and may have diverse causes, from degenerative, congenital and infectious diseases to autoimmune conditions. We present a rare case of Takayasu arteritis and severe heart lesion due to the myxomatous degeneration of the aortic and mitral valves associated with development of infective endocarditis (IE) complicated by abscess, fistula, valve perforation and recurrent acute decompensated heart failure in a young female patient. A combined use of histopathological and PCR analyses of valve tissues was critically important for differential diagnosis of the valve lesions, as it made it possible to identify the true cause of the disease. The presence of Takayasu arteritis has played an indirect role by creating conditions for the development of immunosuppression and determining the disease severity and its progression.

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Section: Discussionunclassified

Section: Introductionunclassified

A Case Report of Differential Diagnosis of Causes of Severe Valvular Heart Disease (Takayasu's Arteritis, Infective Endocarditis and Myxomatous Degeneration) with the Key Role of Histological and PCR Examination

Pisaryuk

Kotova

Ageev

et al. 2023

Racionalʹnaâ farmakoterapiâ v kardiologii

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“…TA can be misdiagnosed as IE due to similar clinical symptoms (heart murmur, fever) in the active phase of the disease [2]. Moreover, TA itself may predispose to IE [3].…”

Section: Cardiovascular Diseasesmentioning

confidence: 99%

“…The possible causes of valve insufficiency include aortic root dilation, recurrent inflammation, and development of aortic valve defect. The literature describes cases where TA could be misdiagnosed as infectious endocarditis (IE) [2]. Also, a long-term immunosuppressive therapy for TA may be a predisposing factor of IE [3].…”

Section: Introductionmentioning

confidence: 99%

Key role of histological and PCR studies in the differential diagnosis of heart valve disease in Takayasu’s arteritis, infective endocarditis and myxomatous degeneration

Pisaryuk,

Kotova,

Moiseeva

et al. 2023

Vestn. Ross. univ. družby nar., Ser. Med.

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Aortic valve lesion is a common cardiopathy, which may have very diverse causes, from degenerative, congenital and infectious diseases to autoimmune conditions. We present a rare case of Takayasu arteritis and severe heart lesion due to the myxomatous degeneration of the aortic and mitral valve cusps associated with the development of infectious endocarditis (IE) complicated by abscess, fistula, valve perforation and recurrent acute decompensated heart failure in a young female patient. A combined use of histopathological and PCR analyses of valve tissues was critically important for differential diagnosis of the valve lesions, as it made it possible to identify the true cause of the structural cardiopathy associated with myxomatous degeneration and a prior IE. The presence of Takayasu arteritis has played an indirect though apparently decisive role by creating conditions for the development of immunosuppression and determining the disease severity and progression rate.

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“…TA can lead to vessels wall thickening, fibrosis, and stenosis. In unusual cases, it can mimic infective endocarditis [ 103 ]. In one case report, coronary arteritis was reported as an unusual cardiac manifestation of TA [ 104 ].…”

Section: Takayasu Arteritis (Ta)mentioning

confidence: 99%

Cardiac Manifestations of Rheumatological Conditions: A Narrative Review

Owlia

Mostafavi-Pour-Manshadi

Naderi

2012

ISRN Rheumatology

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Cardiovascular diseases are common in systemic rheumatologic diseases. They can be presented at the time of diagnosis or after diagnosis. The cardiac involvements can be the first presentation of rheumatologic conditions. It means that a patient with rheumatologic disease may go to a cardiologist when attacked by this disease at first. These manifestations are very different and involve different structures of the heart, and they can cause mortality and morbidity of patients with rheumatologic diseases. Cardiac involvements in these patients vary from subclinical to severe manifestations. They may need aggressive immunosuppressive therapy. The diagnosis of these conditions is very important for choosing the best treatment. Premature atherosclerosis and ischemic heart disease are increased in rheumatoid arthritis and systemic lupus erythematosus, and may be causes of mortality among them. The aggressive control of systemic inflammation in these diseases can reduce the risk of cardiovascular disease especially ischemic heart disease. Although aggressive treatment of primary rheumatologic diseases can decrease mortality rate and improve them, at this time, there are no specific guidelines and recommendations, to include aggressive control and prevention of traditional risk factors, for them.

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Takayasu Arteritis Initially Mimicking Infective Endocarditis

Cited by 4 publications

References 7 publications

A Case Report of Differential Diagnosis of Causes of Severe Valvular Heart Disease (Takayasu's Arteritis, Infective Endocarditis and Myxomatous Degeneration) with the Key Role of Histological and PCR Examination

A Case Report of Differential Diagnosis of Causes of Severe Valvular Heart Disease (Takayasu's Arteritis, Infective Endocarditis and Myxomatous Degeneration) with the Key Role of Histological and PCR Examination

Key role of histological and PCR studies in the differential diagnosis of heart valve disease in Takayasu’s arteritis, infective endocarditis and myxomatous degeneration

Cardiac Manifestations of Rheumatological Conditions: A Narrative Review

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