Title : Unusual presentation of infective endocarditis following a prostatic urethral lift: A case report
Abstract:
Infective endocarditis (IE) is a serious inflammation of the inner lining of the heart. It is caused by pathogens entering the bloodstream and infecting the endocardium. Early diagnosis of IE is essential to improve clinical outcomes and survival; however, due to the subtle symptoms, diagnosis is often delayed. We demonstrate a unique presentation of infective endocarditis caused by Enterococcus faecalis following a prostatic urethral lift, a new minimally invasive technique that can treat benign prostate hyperplasia. The low index of suspicion and atypical symptoms prevented early diagnosis of the disease, leading to life-threatening complications and valve replacement surgery. Presentations of E. faecalis IE have variable symptoms and paint a complex clinical picture, making it difficult to diagnose. With a low diagnostic yield in the early phases, E. faecalis IE risks overlooking serious infection. Furthermore, treatment of E. faecalis IE is also difficult due to the antibiotic-resistant nature of the bacteria. Typically, two drugs are required for effective treatment, and surgery is often required to remove the infected valve. Understanding unusual presentations of infective endocarditis can increase the index of suspicion, leading to early diagnosis and preventing fatal complications. Overall, this case report highlights the importance of proper management of outpatient procedural complications and presents the importance of early intervention to prevent life-threatening complications like IE.
