Silent Endocarditis?

Endocarditis3

When physicians post patient cases on SERMO, they are encouraged to include as much information as possible about the case, while maintaining complete patient privacy/anonymity. A Spanish cardiologist/cardiothoracic surgeon on SERMO recently posted a clinical patient case with some stunning images. 

The patient is a 60-year-old man with a history of polyarthralgia, with months of evolution and constitutional symptoms (fatigue, weight loss). In the doctor’s primary care he was referred to cardiology for study.

Endocarditis1

One transthoracic echocardiogram is performed, showing moderate to severe mitral regurgitation and posterior mitral ring with a mass that was interpreted as “calcium”.

The patient gets worse in the following days…

Endocarditis2

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