A case of subacute infective endocarditis combined with multiple brain and splenic abscesses / 대한내과학회지

ABSTRACT

Systemic septic embolism is one of the most important complications of infective endocarditis, but subacute infective endocarditis has a milder clinical course and rare metastatic lesions. Extracardiac complications and poor response to adequate medical therapy is a good indication of cardiac surgery. We report a case of subacute infective endocarditis combined with multiple brain and splenic abscesses. A 55 year old woman was admitted to this hospital because of intermittent spiking fever for 2 months. She had hypertension and valvular heart disease 4 years ago. Small vegetations of the mitral valve, spiking fever exceeding 38degrees C and septic embolic event including brain and splenic abscesses were present. On the 9th hospital day, fever subsided with vancomycin therapy. 4 weeks after admission, mitral valve replacement was performed.