Protein-losing enteropathy post-valvular surgery with severe tricuspid regurgitation in Subutex-related endocarditis.
We report a 25-year-old Malay man with Subutex-related endocarditis, complicated by protein-losing enteropathy from severe tricuspid regurgitation and congestive heart failure. The intestinal protein loss was reversed with surgical valvular intervention. This case highlights the importance of recognising the rare association between protein-losing enteropathy and congestive heart failure in the setting of endocarditis.
Cardiac Department, National University Hospital, 5 Lower Kent Ridge Road, Singapore. leeliching@yahoo.com
L C
LC
Lee
R
R
Wong
G C
GC
Raju
C
C
Khor
J
J
Yip
D000328:Adult; D001706:Biopsy; D002047:Buprenorphine; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D005500:Follow-Up Studies; D006333:Heart Failure / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007583:Jejunum / Q000473:pathology; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D009294:Narcotics; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D011475:Prosthesis Failure; D011504:Protein-Losing Enteropathies / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D018805:Sepsis / Q000150:complications; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D015819:Substance Abuse, Intravenous / Q000150:complications*; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
D009294:Narcotics; D002047:Buprenorphine