Septic Shock, Meningoencephalitis and Multiple Pulmonary Emboli: Case Report of an Uncommon Clinical Presentation of Ventricular Septal Defect Acute Infective Endocarditis
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Laura Varela Barca1,2, Jose López-Menéndez1, Ana Redondo Palacios1, Jorge Rodríguez-Roda Stuart1 1Cardiac Surgery Department, Hospital Ramón y Cajal, Madrid, Spain2Electronic correspondence: lauravarela21089@gmail.com |
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The case is reported of a 55 year-old woman, with a previously known congenital septal defect, who was admitted to the emergency department with a diagnosis of meningoencephalitis, septic shock, and rapid clinical deterioration. Echocardiography revealed a vegetation occupying the right-side heart. Endocarditis affectation of the septal defect, aortic and tricuspid valves was noted
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and blood cultures were positive for Staphylococcus aureus. Urgent surgical treatment was performed whereby the ventricular septal defect was closed, a meticulous debridement of the affected area was conducted, and the aortic and tricuspid valves were replaced. The Journal of Heart Valve Disease 2017;26:606-609 |
| Septic Shock, Meningoencephalitis and Multiple Pulmonary Emboli: Case Report of an Uncommon Clinical Presentation of Ventricular Septal Defect Acute Infective Endocarditis | |
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