First sign of native valve endocarditis in the COVID-19 pandemic: Acute arterial septic embolism in the lower extremity

Year 2022, Volume: 32 Issue: 4, 480 - 482, 31.08.2022

Emre Kubat , Tuna Demirkıran , Murat Kadan , Gökhan Erol , Cengiz Bolcal

https://doi.org/10.54005/geneltip.1129438

Abstract

he clinical manifestations of infective endocarditis are variable. Late diagnosis of the disease can lead to clinical catastrophe and even death. Although its symptomatology is broad, the initial diagnosis can sometimes be made after complications, particularly during COVID-19 pandemic days. It should be noted that during the pandemic period, patients with mild infective endocarditis symptoms may be confused with covid 19 infection symptoms. In this report, we aim to present that lower extremity ischemia was the first sign of infective endocarditis in a 77-year-old female patient with complaints of sudden onset of pain and coldness in the leg. The patient underwent an embolectomy and embolic material of 1x1.5 cm was removed from the left common femoral artery.

Keywords

infective endocarditis, embolus, surgery, limb ischemia, acute

COVID-19 pandemisinde doğal kapak endokarditinin ilk belirtisi: Alt ekstremitede akut arteriyel septik emboli

Abstract

Enfektif endokarditin klinik belirtileri değişkendir. Hastalığın geç teşhisi klinik felaketlere ve hatta ölüme neden olabilir. Semptomolojisi geniş olmakla birlikte, özellikle COVID-19 pandemi günlerinde bazen ilk tanı komplikasyonlardan sonra konulabilir. Pandemi döneminde hafif enfektif endokardit semptomları olan hastaların covid 19 enfeksiyon semptomları ile karıştırılabileceğine dikkat edilmelidir. Bu raporda, bacağında ani başlayan ağrı ve soğukluk şikayeti ile başvuran 77 yaşındaki kadın hastada enfektif endokarditin ilk bulgusunun alt ekstremite iskemisi olan olguyu sunmayı amaçladık. Hastaya embolektomi yapıldı ve sol ana femoral arterden 1x1.5 cm'lik embolik materyal çıkarıldı.

Keywords

enfektif endokardit, emboli, cerrahi, ekstremite iskemisi, akut

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