[The acquired immunodeficiency syndrome, hypertrophic myocardiopathy and multivalvular infectious endocarditis. Apropos a clinical case].
We present a clinical case of a 33 years old young male, gypsy, intravenous drug abuser with heroine and cocaine and AIDS diagnosis. The clinical anamnesis was mainly fever and systolic heart murmur in a clinical scenario of AIDS. The two-dimensional echocardiographic study was clearly diagnostic of an hypertrophic obstructive cardiomyopathy of the left ventricle. This study showed also the presence of multiple vegetations of the mitral, aortic and pulmonic valves in a clinical setting of an acute Streptococcus Viridans infective endocarditis. In this case report we discuss the incidence of this type of multiple cardiac lesions and particularly the presence of this specific pathogenic agent in this high risk group of patients with intravenous drug abuse and systemic immunosuppression. We pointed out the rarity of these findings of left side valvular vegetations associated with this type of cardiomyopathy and the different factors related to infective endocarditis.
Jaques
A K
AK
Laboratório de Ecocardiografia, Hospital Egas Moniz, Lisboa.
Arroja
I
I
Araújo
C
C
Azevedo
J
J
Borges
A
A
Santos
I
I
Cabral
A
A
Campos
M J
MJ
Mansinho
K
K
Borges
F
F
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000208:ethnology; D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000208:ethnology; D000328:Adult; D001021:Aortic Valve; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000208:ethnology; D002908:Chronic Disease; D003042:Cocaine; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000208:ethnology; D017809:Fatal Outcome; D015497:HIV-1; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000208:ethnology; D006556:Heroin Dependence / Q000150:complications / Q000208:ethnology; D006801:Humans; D008297:Male; D008943:Mitral Valve; D011664:Pulmonary Valve; D006178:Romani People; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000208:ethnology; D019966:Substance-Related Disorders / Q000150:complications / Q000208:ethnology
D003042:Cocaine