Delayed Diagnosis of Right-Sided Infective Endocarditis with Septic Pulmonary Emboli in a Dextrocardia Patient During the COVID-19 Pandemic

Authors

  • Badai Bhatara Tiksnadi Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Cindya Perthy Iswandi Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Aninka Saboe Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Birgitta Maria Dewayani Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Rama Nusjirwan Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
  • Rizkania Ikhsani Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

DOI:

https://doi.org/10.47144/phj.v57i3.2718

Abstract

An adolescent IDU presented with persistent fever and cough. Echocardiography revealed dextrocardia, severe tricuspid regurgitation, and vegetation on the tricuspid leaflet. CT pulmonary angiography identified multiple pulmonary infarcts, and blood cultures confirmed Staphylococcus aureus infection. The patient was diagnosed with right-sided infective endocarditis (IE) complicated by septic pulmonary emboli. She was treated with antibiotics followed by cardiac surgery. While the role of dextrocardia in IE is not well established, it significantly affects the surgical management approach. The diagnosis of right-sided IE and septic pulmonary embolism was delayed during the COVID-19 pandemic due to overlapping symptoms with respiratory infections. Early recognition and prompt investigation in high-risk patients are crucial to address this diagnostic challenge.

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Published

2024-09-30

How to Cite

1.
Tiksnadi BB, Iswandi CP, Saboe A, Dewayani BM, Nusjirwan R, Ikhsani R. Delayed Diagnosis of Right-Sided Infective Endocarditis with Septic Pulmonary Emboli in a Dextrocardia Patient During the COVID-19 Pandemic. Pak Heart J [Internet]. 2024Sep.30 [cited 2024Nov.22];57(3):263-7. Available from: https://pakheartjournal1.pcs.org.pk/index.php/pk/article/view/2718

Issue

Vol. 57 No. 3 (2024): Pakistan Heart Journal

Section

Case Reports

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Copyright (c) 2024 Pakistan Heart Journal

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