Back to basics: a rare and aggressive case of Aggregatibacter aphrophilus endocarditis | Zendy

Nada Al-Sakini | Zendy; Charo Bruce | Zendy; Samuel Seitler | Zendy; Wasyla Ibrahim | Zendy; Victoria Nicholas | Zendy; Orphelie Loup | Zendy; Darryl F. Shore | Zendy; Wei Li | Zendy; Michael Α. Gatzoulis | Zendy

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Back to basics: a rare and aggressive case of Aggregatibacter aphrophilus endocarditis

Author(s) -

Nada Al-Sakini,

Charo Bruce,

Samuel Seitler,

Wasyla Ibrahim,

Victoria Nicholas,

Orphelie Loup,

Darryl F. Shore,

Wei Li,

Michael Α. Gatzoulis

Publication year - 2021

Publication title -

oxford medical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.169

H-Index - 9

ISSN - 2053-8855

DOI - 10.1093/omcr/omab043

Subject(s) - medicine , bicuspid aortic valve , infective endocarditis , endocarditis , abscess , radiology , cardiology , aortic valve , surgery

We present the case of a 25-year-old with a history of bicuspid aortic valve and ascending aortopathy who was successfully treated for infective endocarditis (IE) due to Aggregatibacter aphrophilus . His clinical course was complicated by a large aortic root abscess not initially visualised on transthoracic echocardiography or computerised tomography. The cardinal feature of progressive prolongation of the PR interval on serial electrocardiograms was the only sign associated with clinical deterioration and was the trigger for rapid investigation and urgent management. Our case emphasises the importance of simple bedside tests to identify dynamic clinical scenarios and the requirement for early further imaging in the management of IE.

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