Infectious endocarditis as a cause of septic shock in a young patient without risk factors. Case report

Authors

DOI:

https://doi.org/10.56294/saludcyt2022191

Keywords:

Adolescent, Septic Shock, Endocarditis

Abstract

Infective endocarditis is a pathology that is usually associated with various risk factors, including previous heart surgeries or congenital heart disease. This disease generally presents with various clinical complications due to late diagnosis, reaching a mortality rate of around 24 %. A clinical case of a 17-year-old male patient with no pathological history is presented, with fever of unknown origin plus syncope. An adequate diagnostic approach allowed the discovery of infective endocarditis, although with the development of complications that were the reason for procedures such as aortic valvuloplasty, aortic valve replacement, reconstruction of the aortic annulus, pericardiotomy, and multiple drainages of infectious collections. Despite the complications and high mortality of this pathology, the patient had a favorable prognosis

References

1. Cresti A, Chiavarelli M, Scalese M, Nencioni C, Valentini S, Guerrini F,;Aiello I, Picchi A, De Sensi F Habib G. Epidemiological and mortality trends in infective endocarditis, a 17-year population-based prospective study. Cardiovasc Diagn Ther. 2017;7(1):27-35. https://doi.org/10.21037%2Fcdt.2016.08.09

2. Osler W. The Gulstonian Lectures on Malignant Endocarditis. Br Med J. 1885 Mar 7;1(1262):467-70. https://doi.org/10.1136%2Fbmj.1.1263.522

3. Mahony M, Lean D, Pham L, Horvath R, Suna J, Ward C, Veerappan S, Versluis K, Nourse C. Infective Endocarditis in Children in Queensland, Australia: Epidemiology, Clinical Features and Outcome. Pediatr Infect Dis J. 2021;1;40(7):617-22. https://doi.org/10.1097/inf.0000000000003110.

4. Eleyan L, Khan AA, Musollari G, Chandiramani AS, Shaikh S, Salha A, Tarmahomed A, Harky A. Infective endocarditis in paediatric population. Eur J Pediatr. 2021;180(10):3089-100. https://doi.org/10.1007/s00431-021-04062-7.

5. Hoen B, Alla F, Selton-Suty C, Béguinot I, Bouvet A, Briançon S, Casalta JP, Danchin N, Delahaye F, Etienne J, Le Moing V, Leport C, Mainardi JL, Ruimy R, Vandenesch F; Association pour l'Etude et la Prévention de l'Endocardite Infectieuse (AEPEI) Study Group. Changing profile of infective endocarditis: results of a 1-year survey in France. JAMA. 2002;3;288(1):75-81. https://doi.org/10.1001/jama.288.1.75.

6. Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J. 2015;21;36(44):3075-128. https://doi.org/10.1093/eurheartj/ehv319.

7. Habib G Tribouilloy C Thuny F Giorgi R Brahim A Amazouz M Remadi JP Nadji G Casalta JP Coviaux F Avierinos JF Lescure X Riberi A Weiller PJ Metras D Raoult D. Prosthetic valve endocarditis: who needs surgery? A multicentre study of 104 cases. Heart. 2005;91:954–9. https://doi.org/10.1136/hrt.2004.046177.

8. Vincent L, Otto C. Infective Endocarditis: Update on Epidemiology, Outcomes, and Management. Curr Cardiol Rep. 2018;16;20(10):86. https://doi.org/10.1007/s11886-018-1043-2.

9. Pericàs JM, Hernández-Meneses M, Muñoz P, Martínez-Sellés M, Álvarez-Uria A, de Alarcón A, et al. Spanish Collaboration on Endocarditis—Grupo de Apoyo al Manejo de la Endocarditis Infecciosa en España (GAMES). Characteristics and Outcome of Acute Heart Failure in Infective Endocarditis: Focus on Cardiogenic Shock. Clin Infect Dis. 2021;7;73(5):765-74. https://doi.org/10.1093/cid/ciab098.

10. Baltimore RS, Gewitz M, Baddour LM, Beerman LB, Jackson MA, Lockhart PB, et al. American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee of the Council on Cardiovascular Disease in the Young and the Council on Cardiovascular and Stroke Nursing. Infective Endocarditis in Childhood: 2015 Update: A Scientific Statement From the American Heart Association. Circulation. 2015;13;132(15):1487-515. https://doi.org/10.1161/cir.0000000000000298.

11. Mostaghim AS, Lo HYA, Khardori N. A retrospective epidemiologic study to define risk factors, microbiology, and clinical outcomes of infective endocarditis in a large tertiary-care teaching hospital. SAGE Open Med. 2017;13,5:2050312117741772. https://doi.org/10.1177/2050312117741772.

12. Baddour, L. M., Wilson, W. R., Bayer, A. S., Vance G. Fowler, J., Bolger, A. F., Levison, M. E., & et al. Infective Endocarditis. Circulation. 2005;111-23. https://doi.org/10.1161/circulationaha.105.165564.

13. Fowler V, Miro J, Hoen B, Cabell C, Abrutyn E, Rubinstein E, et al. Staphylococcus aureus endocarditis: a consequence of medical progress. JAMA. 2005;293(24):3012-21. https://doi.org/10.1001/jama.293.24.3012.

14. Zhu B, Macleod LC, Kitten T, Xu P. Streptococcus sanguinis biofilm formation & interaction with oral pathogens. Future Microbiol. 2018;1,13(8):915-32. https://doi.org/10.2217/fmb-2018-0043.

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Published

2022-12-03

How to Cite

1.
Vanegas Contreras GM, Andrés Felipe Mercado González AFMG, Chango Azanza DX, Flores Siguenza JB, Vega Cobos M del C, Pinos Vázquez JF. Infectious endocarditis as a cause of septic shock in a young patient without risk factors. Case report. Salud, Ciencia y Tecnología [Internet]. 2022 Dec. 3 [cited 2024 Nov. 21];2:191. Available from: https://sct.ageditor.ar/index.php/sct/article/view/95