Infective endocarditis involving native aortic valve due to Burkholderia cepacia presenting as refractory heart failure in immunocompetent host: A case report
Journal: Journal of Clinical Images and Medical Case Reports (Vol.2, No. 5)Publication Date: 2021-10-31
Authors : Khin Phyu Pyar; Sai Aik Hla; Soe Win Hlaing; Soe Min; Di Wunn; Zar Ni Htet Aung; Nyan Lin Maung; Arkar Moe; Thurein Wynn;
Page : 1-4
Keywords : infective endocarditis; aortic regurgitation; refractory heart failure; Burkholderia cepacia.;
Abstract
A 44-year-old previously healthy gentle man presented with dyspnoea for three weeks which was more severe over 7 days. He had anaemia, sinus tachycardia, wide pulse pressure of 100 mmHg, heaving displaced apex beat, and features of aortic regurgitation with occasional crackles over both lung base. Echocardiogram revealed vegetations at aortic valve. He was initially treated as a case of infective endocarditis and left ventricular failure with amoxicillin, gentamycin and anti-failure treatment. However, heart failure was very refractory and even worsening; he expired five days after arrival to our hospital. Blood culture obtained after his death showed a growth of unusual organism Burkholderia cepacia.
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Last modified: 2021-12-13 00:05:08