A case of infective endocarditis mimicking a large mesenteric abscess. Issue 7 (July 2022)

• Record Type: Journal Article
• Authors: Yokota, Kyoko; Sakamoto, Asuna; Takatsu, Fumiaki; Hashida, Shinsuke
• Is Part Of: Journal of infection and chemotherapy. Volume 28:Issue 7(2022)
• Page Start: 995
• Page End: 997
• Publication Date: 2022-07
• Subjects: Infective endocarditis -- Mesenteric abscess -- Intra-abdominal infection -- Diagnostic error -- Complication; Chemotherapy -- Periodicals; Infection -- Periodicals; Communicable diseases -- Chemotherapy -- Periodicals; 615.5805
• DOI: 10.1016/j.jiac.2022.03.005
• Languages: English
• ISSNs: 1341-321X

Abstract

Abstract: Infective endocarditis (IE) demonstrates a broad array of clinical presentations and complications. However, IE with prominent abdominal findings is uncommon. We encountered a case of IE caused by Staphylococcus aureus that presented a large mesenteric abscess and was initially diagnosed as an intra-abdominal infection. There are few reports of IE with mesenteric abscess formation. Even if an intra-abdominal abscess is the main symptom, the possibility that it is part of a systemic infection should be considered if the causative organism is atypical or if symptoms are present in multiple organs. Physicians should always be aware of the possibility that IE may mimic other diseases, including intra-abdominal infections.