• Internal medicine · Dec 2022

    Infective Endocarditis Revealed after Resolution of COVID-19 Infection.

    • Tomohisa Sakata, Kenji Harada, Yutaka Aoyama, Shunsuke Saito, Keisuke Narita, and Kazuomi Kario.
    • Division of Cardiovascular Medicine, Department of Internal Medicine, Jichi Medical University, Japan.
    • Intern. Med. 2022 Dec 1; 61 (23): 353735403537-3540.

    AbstractA 34-year-old previously healthy Japanese woman was diagnosed with COVID-19 and treated with remdesivir and dexamethasone. She was discharge but returned the next day due to acute myocardial infarction. Conservative treatment was selected because of an embolic occlusion in the distal portion. Contrast-enhanced computed tomography and brain magnetic resonance imaging revealed a right renal infarction and multiple cerebral embolisms, respectively; she had a fever of 38.9°C that night. Blood culture was positive for methicillin-susceptible Staphylococcus aureus. Transthoracic echocardiography revealed an 11-mm vegetation on the posterior mitral valve leaflet. Native mitral valve infective endocarditis causing multiple embolizations was diagnosed. She underwent surgical mitral valve replacement.

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