Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website http://www.cardiologyres.org

Case Report

Volume 10, Number 5, October 2019, pages 318-322


Escherichia coli Endocarditis Presenting With Septic Shock in an Immunocompetent Female Patient

Figures

Figure 1.
Figure 1. Contrast-enhanced abdominal computed tomography demonstrating infracts in left kidney (a, b, white arrows) and at the periphery of spleen (c, d, white arrows).
Figure 2.
Figure 2. Echocardiography (parasternal long axis view): a large (> 15 mm) mobile mass on the atrial side of the posterior mitral valve leaflet is seen (arrow).

Table

Table 1. Laboratory Tests on Admission and After 2 Weeks of Antimicrobial Therapy
 
VariableAdmission14th dayReference value
WBC: white blood cell; PT: prothrombin time; PPT: partial thromboplastin time; LDH: lactate dehydrogenase; SGOT: serum glutamic oxalocetic transaminase; SGPT: serum glutamic pyruvic transaminase; CPK: creatinine phosphokinase; TnI: troponin; CRP: C-reactive protein.
WBC (/µL)17,7008,5004,000 - 11,000
Hemoglobin (g/dL)10.611.211.8 - 17
Platelets (/µL)67,000180,000150,000 - 400,000
PT (s)181313
PTT (s)393924 - 36
D-dimers (µg/mL)1.720.40.0 - 0.5
Fibrinogen (mg/dL)160280200 - 400
Creatinine (mg/dL)1.31.00.9 - 1.6
Urea (mg/dL)1094015 - 54
LDH (U/L)312190120 - 230
SGOT (U/L)20339< 40
SGPT (U/L)11635< 40
Bilirubin direct (mg/dL)0.70.3< 0.4
Bilirubin indirect (mg/dL)2.10.6< 0.75
CPK/CPK-ΜΒ (U/L)1,449/27110/17< 140
ΤnI (pg/mL)905.9090 - 15.6
CRP (mg/dL)21.862.4< 0.5