Echocardiography fails to detect an extensive aortic root abscess in a patient with infective endocarditis: a case report.

ABSTRACT:

Background

Echocardiography plays a central role in the diagnosis of infective endocarditis (IE). In recent years, additional imaging techniques have begun to challenge the conventional approach. We present a case where the use of transthoracic/transoesophageal echocardiography (TTE/TOE) in suspected IE failed to identify an extensive periannular abscess, later identified by ¹⁸F-flurodeoxyglucose-positron emission tomography (FDG-PET), requiring urgent intervention.

Case summary

A 69-year-old man with symptomatic Streptococcus sanguinis bacteraemia and a bicuspid aortic valve was found to have new-onset left bundle branch block that progressed to complete heart block. After starting on IV Penicillin G and having a temporary pacemaker inserted, his clinical

SUBMITTER: Zogg CK 

PROVIDER: S-EPMC8922699 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature