Isolated pulmonary valve endocarditis in a patient with aplastic anaemia

K. R. Nishanth, Shubha Seshadri, Vinay Pandit, N. Krishnanand

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 42-year-old female patient of aplastic anaemia on maintenance blood transfusion presented with a 3-week history of fever, cough, dyspnoea and pedal oedema. Upon examination she was found to have severe pallor, temperature of 101°F, tachycardia, bilateral pitting pedal oedema, raised jugular venous pressure, ejection systolic murmur (grade 2/6) in pulmonary area and petechiae over extensor aspect of both lower limbs. Blood investigations revealed low haemoglobin, thrombocytopaenia and mild increase in serum creatine. Chest x-ray was normal. Initial 2D trans thoracic echocardiography performed after hospital admission was normal. Antibiotics were started empirically to treat a possible underlying infection. Subsequently, three sets of blood cultures grew Enterococcus faecalis. Upon searching for the source, repeat echocardiograph done showed 2×0.5 cm vegetation on both pulmonary leaflets with severe pulmonary regurgitation, all other valves were free of vegetations. She was treated with intravenous antibiotics for the endocarditis and improved.

Original languageEnglish
Article number008769
JournalBMJ Case Reports
DOIs
Publication statusPublished - 29-04-2013

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Systolic Murmurs
Pulmonary Valve
Aplastic Anemia
Endocarditis
Foot
Edema
Thorax
Pulmonary Valve Insufficiency
Anti-Bacterial Agents
Pallor
Lung
Venous Pressure
Purpura
Creatine
Enterococcus faecalis
Cough
Tachycardia
Blood Transfusion
Dyspnea
Echocardiography

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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Isolated pulmonary valve endocarditis in a patient with aplastic anaemia. / Nishanth, K. R.; Seshadri, Shubha; Pandit, Vinay; Krishnanand, N.

In: BMJ Case Reports, 29.04.2013.

Research output: Contribution to journalArticle

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