We report the case of a 34-year-old man with aortic valve infective endocarditis caused by methicillin-resistant Staphylococcus aureus, complicated by an aortic annular abscess. A 23-mm St. Jude HP aortic mechanical prosthesis was implanted. The pre-discharge echocardiogram revealed a mycotic aneurysm of the basal posteroinferior wall, confirmed by cardiac magnetic resonance imaging, and it was...

A 75-year-old man with no history of head trauma presented with a 10-day episode of left forehead heaviness followed by sudden headache and vomiting. Neurologic examinations were unremarkable. Neuroimaging showed left frontal extra-axial lesion suggestive of acute and subacute subdural hematoma (figure 1, A–D). CSF analysis revealed normal cytology and the absence of xanthochromia. An angiogram...

Following Coxiella burnetii infection, there is a 1 to 5% risk of chronic Q fever. Endocarditis, mycotic aneurysm, and vascular prosthesis infection are common manifestations. We present three patients with endocarditis by C. burnetii concomitant with another bacterial pathogen. Chronic Q fever should therefore be considered in all endocarditis patients in regions where Q fever is endemic.

BACKGROUND AND PURPOSE Patients with infective endocarditis may develop intracranial mycotic aneurysms. Whether these patients should undergo cerebral angiography followed by prophylactic surgery if an aneurysm is detected is an unresolved question. METHODS We estimated the probability of survival 12 weeks after the diagnosis of infective endocarditis on the basis of data available in the lit...

Since antibiotics have been widely used in the treatment of bacterial endocarditis, mycotic aneurysms caused by septic emboli have become extremely rare. We report the case of a 66-year-old male patient who presented mycotic aneurysm of the right tibioperoneal trunk two weeks after aortic and mitral valve replacement due to Enterococcus fecalis endocarditis. The clinical presentation simulated ...

normal 0 false false false en-us x-none x-none background:abnormalities of the sinus of valsalva are usually congenital and quite rare among other heart deficiencies. they are frequently presented with aneurysm formation and the symptoms raised because of their existence vary. when rupture of an aneurysm occurs –more often in the right chambers of the heart -severe complications as cardiogenic ...

Bacterial endocarditis is an elusive disease that challenges clinicians' diagnostic capabilities. Because it can present with various combinations of extravalvular signs and symptoms, the underlying primary disease can go unnoticed.A review of the various extracardiac manifestations of bacterial endocarditis suggests three main patterns by which the valvular infection can be obscured. (1) A maj...

Introduction: Sinus of Valsalva aneurysm (SOVA) may have associated infective endocarditis in which case single aneurysm may drain into adjacent chamber of heart via multiple openings. We report a rare case of congenital SOVA with associated infective endocarditis where intraoperative transesophageal echocardiogram (TEE) helped in localizing two separate openings in the SOVA draining into right...

We present two cases of subarachnoid haemorrhage (SAH) caused by ruptured infectious intracranial aneurysms secondary to endocarditis. The first patient presented with neurological signs of an SAH. Fever and the presence of a previously undiagnosed heart murmur were reasons to obtain blood cultures and initiate further diagnostic workup for endocarditis. The second patient presented with neurol...