Korean J Hematol.  2005 Sep;40(3):201-204. 10.5045/kjh.2005.40.3.201.

A Case of Infective Endocarditis associtaed with Microcytic Hypochromic Anemia

Affiliations
  • 1Division of Hematology, College of Medicine, The Catholic University of Korea, Seoul, Korea. chosg@cmc.cuk.ac.kr
  • 2Division of Cardiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 3Division of Gastroenterology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 4Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 5Department of Clinical Laboratories, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

We experienced a case of infective endocarditis, which unusual has symptoms and microcytic hypochromic anemia. Anemia associated with infective endocarditis is a common manifestation, but is generally normocytic nor-mochromic. However, microcytic hypochromic anemia is an uncommon manifestation of infective endo-carditis, and has only been noted in a few previous reports. We systematically evaluated anemia, and diagnosed fatal underlying diseases, such as infective endocarditis.

Keyword

Infective endocarditis; Microcytic hypochromic anemia

MeSH Terms

Anemia
Anemia, Hypochromic*
Endocarditis*

Figure

  • Fig. 1. ChestX-ray. Chestx-ray showsmildcardiomegaly.

  • Fig. 2. ChestX-ray. Chestx-ray showsmoreaggravated cardiomegalyandpulmonaryedema.

  • Fig. 3. Two-dimensional echocardiogram. Parasternal long axis view. Freely mobile 22.8mm sized vegetation (arrowhead) attached to Rt. coronary cusp (LA, left atrium; LV, left ventricle; Ao, aorta).


Reference

1). Mylonakis E, Calderwood SB. Infective endocarditis in adults. N Engl J Med. 2000; 345:1318–30.
Article
2). Krasnik L, Ochotny R, Hryniewiecki T, Paluszak J, Cieslinski A, Paradowski S. The level of erythropoietin in serum of patients with anemia during infective endocarditis. Pol Arch Med Wewn. 1999; 101:113–5.
3). Prendergast BD. Diagnostic criteria and problems in infective endocarditis. Heart. 2004; 90:611–3.
Article
4). Weiss G, Goodnough LT. Anemia of chronic disease. N Engl J Med. 2003; 352:1011–23.
Article
5). Joyce RA, Sande MA. Mechanism of anemia in experimental bacterial endocarditis. Scand J Haematol. 1975; 15:306–11.
6). Huang HL, Lin FC, Hung KC, Wang PN, WU D. Hemolytic anemia in native valve infective endocarditis: a case report and literature review. Jpn Circ J. 1999; 63:400–3.
7). Prendergast BD. Diagnosis of infective endocarditis. BMJ. 2002; 325:845–6.
Article
8). Hoen B, Selton-Suty C, Lacassin F, et al. Infective endocarditis in patients with negative blood cultures: analysis of 88 cases from a one-year nation wide survey in France. Clin Infect Dis. 1995; 20:501–6.
9). Spach DH, Kanter AS, Daniels NA, et al. Bartonella (Rochalimaea) species as a cause of apparent culture-negative endocarditis. Clin Infect Dis. 1995; 20:1044–7.
Article
10). Houpikian P, Raoult D. Diagnostic methods current best practices and guidelines for identification of difficult-to-culture pathogens in infective endocarditis. Infect Dis Clin North Am. 2002; 16:377–92.
11). Moreillon P, Que YA. Infective endocarditis. Lancet. 2004; 363:139–49.
Article
Full Text Links
  • KJH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr