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
, 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
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
