A case of subacute infective endocarditis combined with multiple brain and splenic abscesses.
- Author:
Sang Heon LEE
1
;
Sang Min LEE
;
Jae Hwan KIM
;
Won Dong LEE
;
Dae Kyung KIM
;
Doo Il KIM
;
Dong Soo KIM
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea. Acme94@hitel.net
- Publication Type:Case Report
- Keywords:
Endocarditis;
bacterial;
Brain abscess;
Abdominal abscess
- MeSH:
Abdominal Abscess;
Abscess*;
Brain Abscess;
Brain*;
Embolism;
Endocarditis*;
Female;
Fever;
Heart Valve Diseases;
Humans;
Hypertension;
Middle Aged;
Mitral Valve;
Thoracic Surgery;
Vancomycin
- From:Korean Journal of Medicine
2003;65(Suppl 3):S902-S906
- CountryRepublic of Korea
- Language:Korean
-
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.
