Infective or Non-Infective Endocarditis: A Brief Literature Review Based on a Case Report

TL;DR

This paper presents a case of a patient with multiple valve lesions and fever, exploring whether the condition is infective or non-infective endocarditis.

Contribution

The novelty lies in the detailed case presentation combined with a literature review to differentiate between infective and non-infective endocarditis.

Findings

The patient had lesions on multiple heart valves and a history of multiple myeloma.

The report highlights the challenges in diagnosing endocarditis in immunocompromised patients.

Clinical questions and literature review are used to guide the diagnostic process.

Abstract

In the present report, we describe a patient presenting in the intensive care unit with fever, respiratory failure, and multiple lesions on cardiac valves. The patient, with a history of multiple myeloma under treatment, was intubated due to ARDS from influenza, and cardiac ultrasonography revealed lesions in the aortic, mitral, and tricuspid valves. There is a step-by-step approach in the case presentation, with clinical questions, while there is a review of the current literature concerning the issue.

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