Mitral valve endocarditis caused by ulcerative colitis followed by septic embolic occlusion of the superior mesenteric artery.
Acute endocarditis is a rare complication of ulcerative colitis. We report on a young woman, who initially presented with fever, elevated inflammatory markers, and symptoms of ulcerative pancolitis but without any cardiac co-morbidity. A few days after total colectomy, the patient complained of acute abdominal pain which led to the suspected diagnosis of mesenteric ischaemia caused by a septic embolus. Transthoracic and transoesophageal echocardiography showed a large vegetation on the anterior leaflet of the mitral valve. The patient was successfully treated by an operative approach including mitral valve replacement.
Eickhoff
Philipp
P
St Anna Children's Hospital, 1090 Vienna, Austria. philipp.eickhoff@stanna.at
Fazekas
Tamás
T
Attarbaschi
Andishe
A
Binder
Thomas
T
D000328:Adult; D003093:Colitis, Ulcerative / Q000150:complications*; D004452:Echocardiography / Q000379:methods*; D004696:Endocarditis / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000628:therapy; D005260:Female; D006801:Humans; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging* / Q000382:microbiology* / Q000628:therapy; D013212:Staphylococcus epidermidis / Q000302:isolation & purification