tetano
Editor, Senior Moderator
Cureus
. 2023 Sep 24;15(9):e45860.
doi: 10.7759/cureus.45860. eCollection 2023 Sep. Infective Endocarditis Following Post-COVID Organizing Pneumonia Complicated by Multiple Splenic Abscesses and Glomerular Nephritis
Mohamed Jazeer Jr[SUP] 1 2 [/SUP], Mayurathan Pakkiyaretnam[SUP] 3 4 [/SUP]
Affiliations
The association of glomerular nephritis and infective endocarditis with liver abscesses is a clinically complex entity that often makes the diagnosis challenging. Here, we report a case of a 50-year-old woman who presented with a febrile illness of two weeks' duration along with myalgia and malaise of four days' duration. She had a background history of well-controlled type 2 diabetes mellitus for five years with a past history of ischemic heart disease diagnosed five years ago. At the time of presentation, she was on long-term steroids for post-coronavirus disease (COVID) organizing pneumonia diagnosed three months back. With serial investigations, she was found to have subacute bacterial endocarditis with multiple liver and splenic abscesses. She was managed with antibiotics as per local protocols after which she made a successful recovery of her clinical status. The uniqueness of this case is the development of rare complications of subacute bacterial endocarditis in the background of immunosuppression.
Keywords: covid-19; glomerular nephritis; infective endocarditis; pneumonia; vasculitis.
. 2023 Sep 24;15(9):e45860.
doi: 10.7759/cureus.45860. eCollection 2023 Sep. Infective Endocarditis Following Post-COVID Organizing Pneumonia Complicated by Multiple Splenic Abscesses and Glomerular Nephritis
Mohamed Jazeer Jr[SUP] 1 2 [/SUP], Mayurathan Pakkiyaretnam[SUP] 3 4 [/SUP]
Affiliations
- PMID: 37881375
- PMCID: PMC10597532
- DOI: 10.7759/cureus.45860
The association of glomerular nephritis and infective endocarditis with liver abscesses is a clinically complex entity that often makes the diagnosis challenging. Here, we report a case of a 50-year-old woman who presented with a febrile illness of two weeks' duration along with myalgia and malaise of four days' duration. She had a background history of well-controlled type 2 diabetes mellitus for five years with a past history of ischemic heart disease diagnosed five years ago. At the time of presentation, she was on long-term steroids for post-coronavirus disease (COVID) organizing pneumonia diagnosed three months back. With serial investigations, she was found to have subacute bacterial endocarditis with multiple liver and splenic abscesses. She was managed with antibiotics as per local protocols after which she made a successful recovery of her clinical status. The uniqueness of this case is the development of rare complications of subacute bacterial endocarditis in the background of immunosuppression.
Keywords: covid-19; glomerular nephritis; infective endocarditis; pneumonia; vasculitis.