A fatal case of infective endocarditis complicated by acute COVID-19 pneumonia.
Davies, William R
Calvert, Patrick A
Oxford medical case reports
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Pandey, A., Davies, W. R., & Calvert, P. A. (2021). A fatal case of infective endocarditis complicated by acute COVID-19 pneumonia.. [Other]. https://doi.org/10.1093/omcr/omab123
A 74-year-old man with no co-morbidities presented to hospital with a 3-day history of diarrhoea and vomiting. He met the modified Duke's criteria for definite infective endocarditis and was immediately started on an intravenous antibiotic. Over Days 1-9, he developed renal failure. On Day 10, he was transferred to a tertiary hospital for mitral valve replacement. However, he tested positive for SARS-CoV-2 on arrival at the tertiary hospital, which delayed his surgery. He underwent bi-weekly nasopharyngeal swabs for SARS-CoV-2 with a plan to operate as soon as he tested negative, or as soon as his incubation period for COVID-19 pneumonia had elapsed. Unfortunately, he died on Day 31 from acute respiratory distress syndrome secondary to COVID-19 pneumonia. We describe the challenges in deciding on the optimal timing for valve replacement. We conclude by suggesting that earlier valve replacement may result in better outcomes.
External DOI: https://doi.org/10.1093/omcr/omab123
This record's DOI: https://doi.org/10.17863/CAM.81118
Attribution-NonCommercial 4.0 International
Licence URL: https://creativecommons.org/licenses/by-nc/4.0/