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Unusual presentation of more common disease/injury
CASE REPORT
Severe aortic regurgitation masked as sepsis-induced ARDS in a patient with Streptococcus agalactiae endocarditis
  1. Nader Lamaa,
  2. Romina Bromberg,
  3. Maryam Foroughi and
  4. Mauricio Danckers
  1. Internal Medicine, Aventura Hospital and Medical Center, Aventura, Florida, USA
  1. Correspondence to Dr Mauricio Danckers, mauriciodanckers{at}hotmail.com

Abstract

Septic shock is the most common type of shock in the intensive care unit with an associated mortality close to 50%. Infective endocarditis (IE) is a rare cause of septic shock but carries significant morbidity and mortality. Group B Streptococcus IE (GBS-IE) is an invasive infection with an incidence of approximately 1.7%. It affects immunocompromised patients such as intravenous drug users, alcoholics, those with HIV and elderly among others. IE with severe acute valvular heart disease challenges physicians when assessing fluid status during the early resuscitation in patients with septic shock. We present a case of GBS-IE complicated by severe acute aortic regurgitation with rapidly progressive acute respiratory failure in the setting of septic shock management.

  • mechanical ventilation
  • valvar diseases
  • radiology (diagnostics)

https://doi.org/10.1136/bcr-2018-226681

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    Footnotes

    • Contributors All persons who meet authorship criteria are listed as authors, and all authors certify that they have participated in the work. Also, authors will take responsibility for the content. NL participated in the concept, planning, design, writing and acquisition of data. RB participated in the concept, planning, design, writing and acquisition of data. MF participated in the design, writing and acquisition of data. MD participated in the concept, planning, design, writing, acquisition of data and revision of the manuscript. Authors of this paper confirm that this material or similar material has not been and will not be submitted to or published in any other publication.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Not required.

    • Provenance and peer review Not commissioned; externally peer reviewed.