ArticleRadiology case reports2026
From diagnostic dilemma to successful management: Early prosthetic mitral valve endocarditis complicated by splenic infarction caused by
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Early prosthetic valve endocarditis caused by Gram-negative bacilli is an uncommon but life-threatening condition associated with significant diagnostic and therapeutic challenges. We report the case of a 51-year-old woman who underwent mechanical mitral valve replacement for rheumatic mitral stenosis and presented 1 month later with persistent fever and profound asthenia. Laboratory investigations revealed a marked inflammatory syndrome. Initial transthoracic echocardiography showed a normally functioning mitral prosthesis without evidence of vegetation. Given the persistent high clinical suspicion of infective endocarditis, transesophageal echocardiography was subsequently performed in accordance with the 2023 European Society of Cardiology guidelines and demonstrated a highly mobile vegetation measuring 11 × 4 mm attached to the atrial side of the prosthetic mitral valve. Cinefluoroscopy confirmed preserved prosthetic leaflet mobility without obstruction. Repeated blood cultures isolated multidrug-resistant
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