Journal of Nobel Medical College Teaching Hospital
Vol. 10 No. 1
Multi-Valvular Endocarditis with Underlying Rheumatic Heart Disease: A Case Report
Sahadeb Prasad Dhungana
Cardiology Unit
Nobel Medical College Teaching Hospital, Biratnagar, Nepal
Sanjib Kumar Sharma
Department of Internal Medicine
B.P. Koirala Institute of Health Sciences, Dharan, Nepal
Tags : Echocardiography, Infective Endocarditis, Rheumatic Heart disease
Abstract
The clinical picture of infective endocarditis varies from the asymptomatic stage for a long duration to an acute fulminant course. A high index of suspicion is necessary whenever a patient presents with nonspecific symptoms and some peripheral clinical signs with a cardiac murmur. We report a case of sub-acute IE involving multiple left and right side cardiac valves with underlying rheumatic heart disease (RHD).