Gonococcal endocarditis: assessment by transesophageal echocardiography.
Gonococcal endocarditis is a rare but aggressive infection that has an alarming rate of perivalvular abscess and mortality. We present a case of gonococcal endocarditis with intracardiac abscess and fistula diagnosed by transesophageal echocardiography. Given the often acute nature of gonococcal endocarditis and its propensity toward abscess formation, transesophageal echocardiography should be considered early in the course of this infection.
Sobel
J L
JL
Department of Medicine, University of California, School of Medicine, San Diego Veteran Affairs Medical Center, USA.
Maisel
A S
AS
Tarazi
R
R
Blanchard
D G
DG
D000038:Abscess / Q000000981:diagnostic imaging / Q000382:microbiology; D000328:Adult; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging*; D005402:Fistula / Q000000981:diagnostic imaging / Q000382:microbiology; D006069:Gonorrhea / Q000000981:diagnostic imaging*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male