Delayed diagnostics of infective endocarditis complicated by posterior mitral valve leaflet perforation (case report)
The article presents a clinical case of infective endocarditis in 17-year-old girl, the diagnosis of which was established only a month after disease debut. Transthoracic echocardiography revealed large vegetation on the posterior mitral valve leaflet. After a month of antibacterial therapy at repeated echocardiographic examination vegetation was not found. To clarify the patient’s heart valves state transesophageal echocardiography was performed. The transesophageal examination showed mitral valve defect-posterior leaflet perforation. The case clearly demonstrates that the erroneous or late infective endocarditis diagnosis is associated with the development of severe heart valves complications. In our case - posterior mitral valve leaflet perforation in a young girl. In the case of unknown genesis fevers, the probability of infective endocarditis should be considered in all age groups. It is necessary to perform transthoracic echocardiography as early as possible. In case of negative results of transthoracic echocardiography and high infective endocarditis clinical suspicion, a transesophageal ultrasound should be used.