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A case of nonvalvular endocarditis with biventricular apical infected thrombi
Author(s) -
Vani Anish,
Ahluwalia Monica,
Donnino Robert,
Jung Albert,
Vaynblat Mikhail,
Latson Larry,
Saric Muhamed
Publication year - 2020
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14690
Subject(s) - endocarditis , medicine , pneumonia , staphylococcus aureus , histopathology , radiology , embolization , magnetic resonance imaging , differential diagnosis , cardiology , pathology , biology , bacteria , genetics
We report what appears to be the first case of biopsy‐proven nonvalvular endocarditis with biventricular apical infected thrombi. A 47‐year‐old man presented with hypoxic respiratory failure from a multilobar pneumonia due to methicillin‐resistant Staphylococcus aureus (MRSA). Transthoracic echocardiography and cardiac magnetic resonance imaging revealed biventricular apical masses suggestive of nonvalvular endocarditis with infected thrombi. Given concern for ongoing septic embolization to the lungs and brain despite appropriate antimicrobial therapy, the masses were surgically resected. Culture and histopathology confirmed MRSA‐positive infected thrombi. In this case report, we highlight the differential diagnosis of apical masses and the role of multimodality imaging.