Native valve endocarditis caused by methicillin-resistant Staphylococcus epidermidis in a patient with advanced liver cirrhosis

Abstract

We present a case of a 50-year-old man with advanced liver cirrhosis and native valve infective endocarditis caused by methicillin-resistant Staphylococcus epidermidis. Bacterial infections are one of the most common complications of liver cirrhosis, but reports of infective endocarditis in patients with liver cirrhosis are relatively rare. Because of vulnerability of patients with advanced cirrhosis for developing infections, it is necessary to pay attention to the pathogens that are sometimes considered contamination and actively seek for the seat of infection, even in less expected areas (e.g., native heart valves without a history of heart disease).

Keywords

• Endocarditis, bacterial
• Heart valve diseases
• Liver cirrhosis, alcoholic
• Methicillin resistance
• Staphylococcus epidermidis
• Case reports