Diagnostic Dilemma: Infective Endocarditis in the Setting of an Esophageal Abscess.

Division

South Atlantic

Hospital

Orange Park Medical Center

Document Type

Case Report

Publication Date

10-23-2023

Keywords

esophageal abscess, infective endocarditis, mssa bacteremia, septic emboli, transesophageal echocardiography (tee)

Disciplines

Bacterial Infections and Mycoses | Infectious Disease | Internal Medicine | Medicine and Health Sciences

Abstract

Transesophageal echocardiography (TEE) is the preferred imaging modality to diagnose infective endocarditis (IE). However, esophageal disease can preclude performing a TEE. We present such a scenario. A patient with an esophageal abscess, methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia, and septic pulmonary emboli with suspicion for IE based on the modified Duke criteria. However, due to the patient's esophageal abscess, TEE could not be performed safely. We present this case to demonstrate a rare scenario in which a patient with an esophageal abscess also had presumed IE.

Publisher or Conference

Cureus

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