An Extraordinary Case of Infective Endocarditis at its Extreme forms of Systemic Embolisation: A Rare Case Report

  • Suman Adhikari Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University. https://orcid.org/0000-0001-8402-5325
  • Ratna Mani Gajurel Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Chandra Mani Paudel Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Surya Devkota Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Smriti Shakya Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Parash Koirala Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Shovit Thapa Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Surya Raj Pathak Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Manju Sharma Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
  • Vijay Yadav Department of Cardiology, Manmohan Cardiothoracic,Vascular and Transplant Centre, Institute of Medicine, Tribhuwan University.
Keywords: Acute Coronary Syndrome, Embolisation, Infective endocarditis, Stroke

Abstract

The overall incidence of embolic complications in infective endocarditis (IE) ranges from 20 to 50%. It is very uncommon for a treating physician to encounter a patient having multiple manifestations of systemic embolisation.Acute coronary syndrome complicating infective endocarditis is an uncommon finding and the incidence has been found to be upto 10%.Cerebral embolism should be suspected in patients with infective endocarditis and neurological sign and symptoms. Neurologic manifestations can sometimes be the first presentation of infective endocarditis. We present the scenario of a 51-year-old diabetic male with chronic kidney disease, rheumatic heart disease with infective endocarditis leading to multiple embolic complications. Our case is notable because the patient had evidence of coronary, cerebral, splenic, hepatic and musculoskeletal manifestations due to embolic complications of IE within a duration of one year. Our case was primarily managed by multidiscipliniary approach. It is an impossible task for a cardiologist to treat such cases with showering complications where a multidisciplinary team approach is the only treatment option.

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Abstract
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PDF
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Published
2020-11-05
How to Cite
Adhikari, S., Gajurel, R., Paudel, C., Devkota, S., Shakya, S., Koirala, P., Thapa, S., Pathak, S., Sharma, M., & Yadav, V. (2020). An Extraordinary Case of Infective Endocarditis at its Extreme forms of Systemic Embolisation: A Rare Case Report. Nepalese Heart Journal, 17(2), 55-57. https://doi.org/10.3126/njh.v17i2.32682
Section
Case Reports