A Rare Case of Tropheryma Whipplei Endocarditis
A 62yo male with PMH of COPD, HTN, and alcohol use disorder presented from an outside hospital with concerns for infective endocarditis. Blood cultures were negative, and echocardiogram revealed a large vegetation with severe aortic regurgitation. Evaluation via PCR revealed infection with Tropheryma Whipplei, a rare cause of chronic systemic infection. The patient required aortic valve replacement, and biopsy of valve leaflet vegetations confirmed the diagnosis of Tropheryma Whipplei Endocarditis. In this case presentation, we will discuss risks of severe aortic regurgitation and the appropriate diagnostic tools to differentiate them, as well as the anesthetic management to minimize these risks.
Aiello A, Daklallah Y, Soto RG. A rare case of tropheryma whipplei endocarditis. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5706