Importancia de las nuevas técnicas de imagen en el diagnóstico precoz de la endocarditis infecciosa

Prosthetic valve endocarditis is still a serious complication of replacement valve surgery. It involves a high mortality rate. Therefore, an early diagnosis and an aggressive treatment are required in order to improve the prognosis of these patients. Transthoracic echocardiography is still the gold standard for the diagnosis of endocarditis. However, this may be not conclusive or negative in the early stages of this disease.

We present the case of a 79-year-old male who underwent aortic valve replacement surgery by biological valve mitroflow number 21 in October 2014. He suffered from fever and syncope after having a colonoscopy and polipectomy without endocarditis prophylaxis the previous month.