An Uncommon Aetiology of a Common Disease: Leptospiral Infective Endocarditis DD01-DD02
Dr. Shikha Ranjan,
Consultant, Department of Microbiology, KG Hospital and Postgraduate Medical Institute,
Coimbatore-641018, Tamil Nadu, India.
Leptospirosis is a neglected global disease caused by pathogenic spirochetes, 10% cases of which present as severe disease resulting in multi-system disorders. Cardiac involvement in leptospirosis is not very uncommon, but mainly manifests as electrocardiographic changes and conduction defects. However, leptospiral endocarditis is an extremely rarely reported entity. We hereby present a case of infective endocarditis caused by leptospira in 15-year-old boy. To our knowledge, this is only the sixth case of leptospiral infective endocarditis, highlighting the fact that clinicians need to be aware of the possibility of leptospirosis, even if the illness presents with unusual features like endocarditis.