The Egyptian Heart Journal (Jul 2023)

COVID-19-associated MRSA infective endocarditis and mitral valve perforation: a case report

  • Anwar Khedr,
  • Esraa Mamdouh Hassan,
  • Hussam Al Hennawi,
  • Abbas Bashir Jama,
  • Muhammad Khuzzaim Khan,
  • Mikael Mir,
  • Aalaa Eissa,
  • Ibtisam Rauf,
  • Hisham Mushtaq,
  • Nitesh Kumar Jain,
  • Mir Rauf Subla,
  • Salim Surani,
  • Syed Anjum Khan

DOI
https://doi.org/10.1186/s43044-023-00392-z
Journal volume & issue
Vol. 75, no. 1
pp. 1 – 5

Abstract

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Abstract Background Coronavirus disease 2019 (COVID-19) has emerged as a global pandemic, leading to significant morbidity and mortality. The interplay between COVID-19 and other medical conditions can complicate diagnosis and management, necessitating further exploration. Case presentation This case report presents a patient with COVID-19 who developed infective endocarditis (IE) and mitral valve perforation caused by methicillin-resistant Staphylococcus aureus on a native mitral valve. Notably, the patient did not exhibit typical IE risk factors, such as intravenous drug use. However, he did possess risk factors for bacteremia, including a history of diabetes mellitus and recent steroid use due to the COVID-19 infection. The diagnosis of IE was crucially facilitated by transesophageal echocardiography. Conclusions This case highlights the potential association between COVID-19 and the development of infective endocarditis. Prompt evaluation using transesophageal echocardiography is vital when there is a high suspicion of IE in COVID-19 patients. Further research is required to elucidate the precise relationship between COVID-19 and IE.

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