[The acquired immunodeficiency syndrome, hypertrophic myocardiopathy and multivalvular infectious endocarditis. Apropos a clinical case]

Important note: Information in this article was accurate in 1995. The state of the art may have changed since the publication date.

[The acquired immunodeficiency syndrome, hypertrophic myocardiopathy and multivalvular infectious endocarditis. Apropos a clinical case]

Rev Port Cardiol. 1995 Jan;14(1):53-8. Unique Identifier : AIDSLINE MED/95209917
Jaques AK; Arroja I; Araujo C; Azevedo J; Borges A; Santos I; Cabral A; Campos MJ; Mansinho K; Borges F; et al; Laboratorio de Ecocardiografia, Hospital Egas Moniz, Lisboa.

Abstract: We present a clinical case of a 33 years old young male, gypsy, intravenous drug abuser with heroine and cocaine and AIDS diagnosis. The clinical anamnesis was mainly fever and systolic heart murmur in a clinical scenario of AIDS. The two-dimensional echocardiographic study was clearly diagnostic of an hypertrophic obstructive cardiomyopathy of the left ventricle. This study showed also the presence of multiple vegetations of the mitral, aortic and pulmonic valves in a clinical setting of an acute Streptococcus Viridans infective endocarditis. In this case report we discuss the incidence of this type of multiple cardiac lesions and particularly the presence of this specific pathogenic agent in this high risk group of patients with intravenous drug abuse and systemic immunosuppression. We pointed out the rarity of these findings of left side valvular vegetations associated with this type of cardiomyopathy and the different factors related to infective endocarditis.

Keywords: Acquired Immunodeficiency Syndrome/*DIAGNOSIS/ETHNOLOGY Adult *Aortic Valve AIDS-Related Opportunistic Infections/*DIAGNOSIS/ETHNOLOGY Cardiomyopathy, Hypertrophic/*DIAGNOSIS/ETHNOLOGY Case Report Chronic Disease Cocaine Endocarditis, Bacterial/*DIAGNOSIS/ETHNOLOGY English Abstract Fatal Outcome Gypsies Heart Valve Diseases/DIAGNOSIS/ETHNOLOGY Heroin Dependence/COMPLICATIONS/ETHNOLOGY Human *HIV-1 Male *Mitral Valve *Pulmonary Valve Streptococcal Infections/*DIAGNOSIS/ETHNOLOGY Substance Dependence/COMPLICATIONS/ETHNOLOGY JOURNAL ARTICLE
950730
M9570939

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