Superinfection of Libman-Sacks endocarditis in a lupus patient: a case report

Libman-Sacks endocarditis is an uncommon cardiac manifestation of lupus, characterized by noninfective heart valve vegetations. Most patients are asymptomatic. However, clinical manifestations of acute forms can mimic infectious endocarditis and complicate both differential diagnosis and treatment....

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Bibliographic Details
Published in:	The Pan African medical journal Vol. 42; p. 278
Main Authors:	Tchibinda, Nuance Divine Tchiloemba, Coulibaly, Fatimatou Zahra, Mamadou, Chimène Willer Kitihoun, Bennani, Rajae, Fellat, Nadia, Fellat, Rokya
Format:	Journal Article
Language:	French
Published:	Uganda 2022
Subjects:	Adult Endocarditis - complications Endocarditis - diagnosis Endocarditis, Bacterial - diagnosis Female Heart Humans Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - diagnosis Superinfection antiphospholipid syndrome case report systemic lupus erythematosus Libman-Sacks endocarditis non-infectious endocarditis
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Summary:	Libman-Sacks endocarditis is an uncommon cardiac manifestation of lupus, characterized by noninfective heart valve vegetations. Most patients are asymptomatic. However, clinical manifestations of acute forms can mimic infectious endocarditis and complicate both differential diagnosis and treatment. We here report the case of a 28-year-old female patient with lupus erythematosus followed up from 2018. She had signs and symptoms supporting the diagnosis of infective endocarditis. Assessments allowed for the diagnosis of superinfection Libman-Sacks endocarditis. The patient died despite the combination of bi-antibiotic therapy and corticosteroids.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Article-4 ObjectType-Report-1
ISSN:	1937-8688 1937-8688
DOI:	10.11604/pamj.2022.42.278.34205