Natural progression of non-surgically Mx infective endocardi
This case depicts rarely seen images of infective endocarditis in a patient who was managed non-surgically. Published in the Journal of Indian College of Cardiology, the authors present various echocardiograms which closely follow the progression of the infective endocarditis in a patient with previous cardiac surgery and prosthetic material in situ.

A 51-year-old man presented with complaints of fevers and gastrointestinal infective symptoms in the context of previously having undergone an aortic root replacement and metallic aortic valve implantation several years prior for a previous episode of aortic dissection whilst utilising illicit intravenous drug use.

Echocardiography noted an aortic valve vegetation and blood cultures grew non-typhoidal Salmonella Typhimurium. A surgical opinion deemed he was not an appropriate candidate for surgical intervention due to tissue friability and continuous intravenous drug use.

Serial echocardiograms revealed the formation of an aortic root abscess, which fistulised between the left ventricle, right ventricle and right atrium. His clinical condition stabilised and was discharged from hospital with close community monitoring and life-long antibiotic therapy.

This case depicts the remarkable images surrounding the natural progression of infective endocarditis managed without surgical intervention, together with the difficulties and limitations in managing prosthetic valve endocarditis.

Read more about the case here: https://pxmd.co/65Z6y
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Dr. S●●●●●●m H●●●●●●r
Dr. S●●●●●●m H●●●●●●r General Medicine
Which antibiotics were used and how long were they given. Any prophylactic antibiotic prescribed?
Oct 8, 2018Like