Corynebacterium Diphtheriae Endocarditis with Multifocal Septic Emboli: Can Prompt Diagnosis Help Avoid Surgery?
2014
Patient: Male, 23
Final Diagnosis: Corynebacterium diphtheriae endocarditis
Symptoms: Abdominal pain • cachexia • diarrhea • fever • vomiting
Medication: —
Clinical Procedure: Mitral valve replacement
Specialty: Surgery
Objective:
Rare disease
Background:
Although Corynebacterium diphtheriae is well known for causing diphtheria and other respiratory tract infections, in very rare cases it can lead to severe systemic disease.
Case Report:
This is a case of a previously healthy young man (no prosthetic valve in situ or other known congenital defect), presenting with a Corynebacterium diphtheriae infection leading to endocarditis. The patient reported no I.V. drug use, so it can be assumed that no risk factors for infective endocarditis were present.
Conclusions:
This report aims to raise suspicion for this specific infection in order to proceed with the right treatment as soon as possible.
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