Matheus Werlang Donadel et al. Laura Werlang Donadel Laura Cristina Pudell Eduardo Hunsche Grossman Gabriel Blacher Grossman
Introduction
A 63-year-old male patient, with a history of mitral valve replacement with a bioprosthesis in 2019 due to native valve dysfunction secondary to bacterial endocarditis, and under regular medical follow-up since the procedure, presented to the cardiology emergency department with a complex clinical case. The patient reported a two-week history of fever (with temperature peaks of 38°C), night sweats, dry cough, weight loss, cervical pain when moving the neck, increased urinary frequency and urinary incontinence. At presentation, there were no classic cardiovascular symptoms, signs of valve dysfunction, or embolic phenomena. Notably, he had recently undergone a dental procedure without antibiotic prophylaxis. He denied symptoms such as rhinorrhea or pharyngitis. His physical and cardiovascular examinations were unremarkable.
[…]