Korean J Med.  2003 Nov;65(Suppl 3):S902-S906.

A case of subacute infective endocarditis combined with multiple brain and splenic abscesses

Affiliations
  • 1Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea. Acme94@hitel.net

Abstract

Systemic septic embolism is one of the most important complications of infective endocarditis, but subacute infective endocarditis has a milder clinical course and rare metastatic lesions. Extracardiac complications and poor response to adequate medical therapy is a good indication of cardiac surgery. We report a case of subacute infective endocarditis combined with multiple brain and splenic abscesses. A 55 year old woman was admitted to this hospital because of intermittent spiking fever for 2 months. She had hypertension and valvular heart disease 4 years ago. Small vegetations of the mitral valve, spiking fever exceeding 38degrees C and septic embolic event including brain and splenic abscesses were present. On the 9th hospital day, fever subsided with vancomycin therapy. 4 weeks after admission, mitral valve replacement was performed.

Keyword

Endocarditis; bacterial; Brain abscess; Abdominal abscess

MeSH Terms

Abdominal Abscess
Abscess*
Brain Abscess
Brain*
Embolism
Endocarditis*
Female
Fever
Heart Valve Diseases
Humans
Hypertension
Middle Aged
Mitral Valve
Thoracic Surgery
Vancomycin
Vancomycin
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