Adult patent Ductus Arteriosus complicated by endocarditis and hemolytic anemia

https://doi.org/10.25100/cm.v46i2.1857

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Published: Jun 30, 2015
Updated: 2015-06-30
Issue: Vol. 46 No. 2 (2015)
Section Case Report

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Authors

Feridoun Sabzi Preventive Cardiovascular Research Centre Kermanshah, Kermanshah University of Medical Sciences, Kermanshah, Iran
Reza Faraji
Abstract

An adult with a large patent ductus arteriosus may present with fatigue, dyspnea or palpitations or in rare presentation with endocarditis. The case illustrated unique role of vegetation of endocarditis in hemolytic anemia in adult with patent ductus arteriosus (PDA). Despite treatment of endocarditis with complete course of appropriate antibiotic therapy and normality of C- reactive protein, erythrocyte sedimentation rate and leukocytosis and wellness of general condition, transthoracic echocardiography revealed large vegetation in PDA lumen, surgical closure of PDA completely relieved hemolysis, and fragmented red cell disappeared from peripheral blood smear. The 3-month follow-up revealed complete occlusion of PDA and abolishment of hemolytic anemia confirmed by clinical and laboratory examination.

 

Keywords
  • Ductus arteriosus
  • endocarditis
  • hemolytic anemia
  • fatigue
  • dyspnea
  • leukocytosis.
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How to Cite
Sabzi, F., & Faraji, R. (2015). Adult patent Ductus Arteriosus complicated by endocarditis and hemolytic anemia. Colombia Medica, 46(2), 80–83. https://doi.org/10.25100/cm.v46i2.1857
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Received 2015-01-10
Accepted 2015-04-27
Published 2015-06-30
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