Case Report

Volume: 7 | Issue: 9 | Published: Dec 20, 2023 | Pages: 176 - 179 | DOI: 10.24911/ejmcr/173-1660468920

Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis


Authors: Razif Ismail orcid logo , Rosnelifaizur Ramely , Mohd Shakirin Pairan , Wan Yus Haniff Wan Isa


Article Info

Authors

Razif Ismail

Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia

orcid logo ORCID

Rosnelifaizur Ramely

Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia

Mohd Shakirin Pairan

Department of Medical, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia

Wan Yus Haniff Wan Isa

Department of Medical, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kota Bharu, Kelantan, Malaysia.

Publication History

Received: August 14, 2022

Revised: April 03, 2023

Accepted: August 25, 2023

Published: December 20, 2023


Abstract


Background: Blood culture-negative infective endocarditis (BCNIE) refers to infective endocarditis (IE) with negative microorganism growth using usual blood culture method. It poses dilemma in terms of diagnosis, associated complication, and treatment. The study aims to highlight the occurrence of acute bilateral lower limb ischemia in BCNIE and its management approach. Case presentation: We present a BCNIE patient who developed acute bilateral lower limb ischemia, Rutherford stage 2b despite on course of antibiotic treatment. Patient underwent emergency bilateral open femoral embolectomy and right profundaplasty. A full six-weeks course of antibiotics and short-term anticoagulant successfully reverse the acute ischemic event. Conclusion: This case highlighted that despite the rarity of BCNIE causing limb ischemia, it can still occur due to significant risk factors. The early recognition of acute limb ischemia and prompt treatment are deemed important in saving the threatened limb from being amputated.

Keywords: endocarditis, embolectomy, limb salvage, mitral valve insufficiency, thromboembolism, green


Pubmed Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. EJMCR. 2023; 20 (December 2023): 176-179. doi:10.24911/ejmcr/173-1660468920

Web Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. https://ejmcr.com/articles/1267 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1660468920

AMA (American Medical Association) Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. EJMCR. 2023; 20 (December 2023): 176-179. doi:10.24911/ejmcr/173-1660468920

Vancouver/ICMJE Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. EJMCR. (2023), [cited December 25, 2024]; 20 (December 2023): 176-179. doi:10.24911/ejmcr/173-1660468920

Harvard Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa (2023) Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. EJMCR, 20 (December 2023): 176-179. doi:10.24911/ejmcr/173-1660468920

Chicago Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. "Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis." 20 (2023), 176-179. doi:10.24911/ejmcr/173-1660468920

MLA (The Modern Language Association) Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa. "Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis." 20.December 2023 (2023), 176-179. Print. doi:10.24911/ejmcr/173-1660468920

APA (American Psychological Association) Style

Razif Ismail, Rosnelifaizur Ramely, Mohd Shakirin Pairan, Wan Yus Haniff Wan Isa (2023) Thromboembolic phenomenon to bilateral lower limbs is a catastrophic complication of blood culture-negative infective endocarditis. , 20 (December 2023), 176-179. doi:10.24911/ejmcr/173-1660468920