Case report on Infective endocarditis with supravalvular aortic stenosis

Abstract

Introduction: The most common type of aortic stenosis is supravalvular stenosis. A congenital obstruction of the left ventricular outflow system is the most unusual type of congenital blockage. It's possible that it's related to Williams syndrome or that it's a completely other condition. Despite the fact that Infectious endocarditis is very common in people who have valvular aortic stenosis. Infective endocarditis occurs in patients with supravalvular aortic stenosis is infrequent. A instance of infective endarteritis is described. caused by resistant enterococci in a Supravalvular aortic stenosis patient and a protracted fever. The infection was treated with antibiotics based on the results of a blood culture. Presenting complaint and investigation:- A 18 year female patient was admitted in A.V.B.R. Hospital Sawangi (m) Wardha , patient chief complaint was chest pain since 2 days , headache since 2 days , dizziness since 2 days ,also the vomiting and dyspnoea are present in patient, investigation done-History collection, Physical examination, Echocardiogram, Chest X ray, CT scan, MRI. The main diagnosis Therapeutic intervention Outcomes: A 18 years female was admitted in A. V. B. R.H. Sawangi (M ) Wardha. Patient chief complaint infective endocarditis with CHD (congenital heart disease) patient was appropriately alight till 2 days back off which she started developing chest pain Which was insidious . Patient chief complaint of chest pain, headache, and dizziness since for  2 days. And breathlessness .The main diagnosis:18 year female patient admitted in hospital. All investigation are done and patient diagnosis that having infective endocarditis with supravalvular aortic stenosis, intervention: inj  ceftriaxone- 1GM-BD, inj. Vancomycin-100mg-QID, inj. Gentamycin - 80mg-OD, inj. Pan-40mg-OD, inj. Emset -4 mg-TDS, inj. Neomol-SOS, Tab. Nimodipine -60mg-4hourly, Syp. Duphalac- 15ml- BD, Tab. Oroffer XT-OD, After the given medication patient chief complaint is chest pain is relieved, level of headache is decreased. Nursing perspective: Fluid was provided to maintain the fluid and electrolyte monitor. And  the medication like antibiotics to reduced the infection. Also antiemetic drug are given to patient, also the  painkillers drugs provided. Conclusion:-A rare but potentially curable cardiac cause of PUO is infective endocarditis aggravating supravalvular aortic stenosis.