Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Case Report
Asp Biomed Clin Case Rep. 2021 Sept 25;4(3):162-65
Serigne Mor Beye1*, Cheikh Ahmadou Bamba Samb1, Khadimu Rassoul DIOP1, Ansoumana Conde1, Joseph Salvador Mingou1, Jean Baptiste Mathieu Sy1, Adama Kane1
1Service de cardiologie du, Centre Hospitalier Régional de Saint Louis, Sénégal
Corresponding Author: Serigne Mor Beye ORCID iD
Address: Service de cardiologie du, Centre Hospitalier Régional de Saint Louis, Sénégal; Tel: +221 776776655.
Received date: 24 August 2021; Accepted date: 16 September 2021; Published date: 25 September 2021
Citation: Beye SM, Samb CAB, Diop KR, Condé A, Mingou JS, Sy JBM, Kane Ad. Infectious Endocarditis with Major Cutaneous Expression: About A Case. Asp Biomed Clin Case Rep. 2021 Sept 25;4(3):162-65.
Copyright © 2021 Beye SM, Samb CAB, Diop KR, Condé A, Mingou JS, Sy JBM, Kane Ad. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Infectious Endocarditis, Skin Manifestations, Duke Criteria, Transthoracic Echography, Case Report
Introduction: Infectious endocarditis is a transplant of microorganisms in healthy endocardium, in injured endocardium or intracardiac material. The modes of revelation can be multiple and varied, the skin manifestations of an infectious although classical endocarditis, are rare.
Observation: This was a young 20-year-old patient, admitted in our cardiac unit for the exploration of a cardiac murmur in a context of long-term fever evolving for nearly 3 weeks associated with a skin rash. The examination found fever at 39°C and tachycardia at 115 beats/min. The cardiac auscultation revealed tachycardia with a systolic breath apexian mitral insufficiency. The skin examination revealed Osler’s nodules, an erythema of Janeway on the soles of the feet and on the palms of the hands. In biology, there was a non-specific biological inflammatory syndrome. Blood cultures from three series of samples did not isolate a germ. The transthoracic echography showed large vegetations in the anterior and posterior leaflets of mitral valve associated with severe mitral regurgitation. In this context, the diagnosis of mitral endocarditis is retained according to the Duke criteria. A double intravenous antibiotic therapy based on ceftriaxone and gentamycin was administrated. The evolution was favorable with stable apyrexia, disappearance of skin signs, regression of non-specific biological inflammatory syndrome. A replacement surgery of mitral valve was proposed.
Conclusion: Infectious endocarditis is a disease with multiple and varied modes of revelation. Although skin manifestations are rare, they are still a determining factor in the diagnosis of infectious endocarditis.