ArticleEchocardiography (Mount Kisco, N.Y.)2021
Two cases of acute endocarditis misdiagnosed as COVID-19 infection.
Article in Echocardiography (Mount Kisco, N.Y.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A clinical profile of infective endocarditis in patients with recent COVID-19: A systematic review.The American journal of the medical sciences · 2022Pooled it
- Infective Endocarditis Mimicking Reactive Arthritis: A Diagnostic Detour.JACC. Case reports · 2026Article
- Impact of the Coronavirus Disease 2019 (COVID-19) Pandemic on Infective Endocarditis Outcomes in Japan: A Nationwide Observational Study.Circulation reports · 2026Article
- Impact of the SARS-CoV-2 Pandemic on the Management and Prognosis of Infective Endocarditis.Tropical medicine and infectious disease · 2024Article
- Infective endocarditis presentations during the COVID-19 pandemic: have they paid an untold toll?Global cardiology science & practice · 2024Article
- COVID-19-associated MRSA infective endocarditis and mitral valve perforation: a case report.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2023Article
- Bacterial endocarditis following COVID-19 infection: two case reports.Journal of medical case reports · 2023Article
- Cardiac Surgery for Treatment of COVID-19-Associated Infectious Endocarditis.Texas Heart Institute journal · 2023Review
- Infective Endocarditis Revealed after Resolution of COVID-19 Infection.Internal medicine (Tokyo, Japan) · 2022Article
- Misdiagnoses in the Context of Suspected Pandemic Influenza or Coronavirus Disease 2019: A Systematic Review.Open forum infectious diseases · 2022Review
- Bacterial endocarditis masked by COVID-19: A case report.Experimental and therapeutic medicine · 2022Article
- Two cases of acute endocarditis misdiagnosed as COVID-19 infection.Echocardiography (Mount Kisco, N.Y.) · 2021Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
The COVID-19 pandemic has presented countless new challenges for healthcare providers including the challenge of differentiating COVID-19 infection from other diseases. COVID-19 infection and acute endocarditis may present similarly, both with shortness of breath and vital sign abnormalities, yet they require very different treatments. Here, we present two cases in which life-threatening acute endocarditis was initially misdiagnosed as COVID-19 infection during the height of the pandemic in New York City. The first was a case of Klebsiella pneumoniae mitral valve endocarditis leading to papillary muscle rupture and severe mitral regurgitation, and the second a case of Streptococcus mitis aortic valve endocarditis with heart failure due to severe aortic regurgitation. These cases highlight the importance of careful clinical reasoning and demonstrate how cognitive errors may impact clinical reasoning. They also underscore the limitations of real-time reverse transcription-polymerase chain reaction (RT-PCR) for SARS-CoV-2 testing and illustrate the ways in which difficulty interpreting results may also influence clinical reasoning. Accurate diagnosis of acute endocarditis is critical given that surgical intervention can be lifesaving in unstable patients.
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