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Atypical Echocardiographic Findings of Endocarditis in an Immunocompromised Patient
Author(s) -
Letts Dustin P.,
LópezCandales Angel
Publication year - 2004
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/j.0742-2822.2004.03121.x
Subject(s) - medicine , endocarditis , myocarditis , pericardial effusion , pericarditis , cardiomyopathy , cardiology , disease , heart disease , infective endocarditis , human immunodeficiency virus (hiv) , heart failure , immunology
Cardiovascular manifestations in patients infected with human immunodeficiency virus (HIV) have been altered by the introduction of highly active antiretroviral therapy regimens that allow more effective prophylactic treatment and an increased time of survival. Because of this, noninfectious cardiac conditions associated with HIV disease are being recognized with increasing frequency in these patients. Cardiac involvement in HIV‐infected patients varies from clinically silent to overtly symptomatic disease. By some estimates a direct cardiac cause of mortality is between 1% and 6% of all cases. Pericardial effusion, pericarditis, myocarditis, cardiomyopathy, endocarditis, and pulmonary hypertension are well‐recognized cardiac illnesses associated with HIV infection. Echocardiography has been crucial in evaluating HIV‐infected patients to assess the extent of cardiac involvement. This case report illustrates atypical echocardiographic manifestations of endocarditis and paravalvular abscess in an immunocom‐promised patient.