ABSTRACT
Scorpion sting envenoming is a common pediatric emergency in the Moroccan southern areas. Cardiomyopathy is the most common cardiovascular manifestation of envenoming, resulting from the stimulation of the sympathetic nervous system by the venom or from the direct effect of the venom toxins on the myocardium. Rare cases of infective endocarditis following a scorpion sting have been reported in the literature. We report a case of tricuspid valve infective endocarditis following a scorpion sting in a previously healthy eight-year-old child. The patient initially was managed medically before undergoing tricuspid valve replacement with a bioprosthesis. The postoperative course was uneventful with a full recovery.
Subject(s)
Endocarditis, Bacterial/etiology , Endocarditis, Bacterial/surgery , Scorpion Stings/complications , Tricuspid Valve Insufficiency/surgery , Tricuspid Valve/microbiology , Tricuspid Valve/surgery , Bioprosthesis , Cardiomyopathies/etiology , Child , Female , Heart Valve Prosthesis , Heart Valve Prosthesis Implantation , Humans , Morocco , MyocardiumABSTRACT
Tuberculous aortic aneurysms are rare. Localization in the isthmus of the aorta is still exceptional. It often presents as a false aneurysm, which exposes to the risk of rupture, whatever the size of the aneurysm, and worsens the prognosis. The treatment of reference relies on surgery in association with antituberculosis treatment. The endovascular approach with stent grafts can be an alternative as presented in this case report, in which traditional surgery was judged to be at risk in a nonagenarian patient.
Subject(s)
Aneurysm, False/surgery , Aneurysm, Infected/surgery , Aortic Aneurysm/surgery , Blood Vessel Prosthesis Implantation/instrumentation , Blood Vessel Prosthesis , Endovascular Procedures/instrumentation , Stents , Tuberculosis, Cardiovascular/surgery , Aged, 80 and over , Aneurysm, False/diagnostic imaging , Aneurysm, False/physiopathology , Aneurysm, Infected/diagnostic imaging , Aneurysm, Infected/microbiology , Antitubercular Agents/therapeutic use , Aortic Aneurysm/diagnostic imaging , Aortic Aneurysm/microbiology , Aortography/methods , Computed Tomography Angiography , Humans , Male , Treatment Outcome , Tuberculosis, Cardiovascular/diagnostic imaging , Tuberculosis, Cardiovascular/microbiologyABSTRACT
Mycotic aortic aneurysms are exceedingly uncommon in infants and they have a high risk of rupture. Their surgical management is extremely challenging. We report a case of a 22-month-old girl who presented with abdominal pain and fever revealing a ruptured mycotic aneurysm of the infrarenal aorta. The surgical treatment consisted of a ligature of the proximal and distal ends of the aneurysm. Postoperative course was significant for hypertension. A year and a half follow-up showed no other complications. Limited data are available concerning our chosen technique, but the reported cases showed a good short-term outcome.
