Case Report

Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review

Table 1

Summary of clinical characteristics of the forty-five AU endocarditis cases reported in English literature as well as our case.

CaseAge (years)GenderComorbidities or risk factorsAffected valveSurgeryAntibiotic regimen and durationSurvived?

1 [16]69MCystoscopyAorticNoBeta-lactam and aminoglycoside for 6 weeksYes
2 [17]54MPhimosisMitralYesBeta-lactam for 6 weeksYes
3 [18]43MUntreated hepatitis CAorticNoBeta-lactam and aminoglycoside for 5 daysNo
4 [19]68MIndwelling urinary catheterAorticYesBeta-lactam 6 weeks and aminoglycoside for 2 weeksYes
5 [20]80MNonurologic malignancyAorticYesBeta-lactam for 2 weeksYes
6 [21]77MBenign prostatic hypertrophyAorticNoBeta-lactam and vancomycin; duration not reportedNo
7 [22]68MBenign prostatic hypertrophyMitralNoBeta-lactam for 3 weeks; oral aminoglycoside duration not reportedYes
8 [23]75MCystoscopyAorticYesBeta-lactam and aminoglycoside for 6 weeksYes
9 [24]89MTransurethral resection of prostateMitralNoBeta-lactam and aminoglycoside for 7 daysNo
10 [25]81MRecurrent UTIsAorticNoBeta-lactam 2 weeks and aminoglycoside for 8 daysNo
11 [26]42MNoneAorticYesBeta-lactam and aminoglycoside for 6 weeksYes
12 [27]49MNot reportedAorticNot reportedBeta-lactam and aminoglycoside; duration not reportedYes
13 [28]54MUrethral strictureTricuspid and aorticNoBeta-lactam and aminoglycoside; duration not reportedNo
14 [29]69MNonurologic malignancyAorticYesBeta-lactam for 12 weeksYes
15 [30]62MBenign prostatic hypertrophyMitral and aorticYesBeta-lactam and rifampin for 6 weeks and aminoglycoside for 2 weeksYes
16 [31]78MAortic stenosisAorticNoBeta-lactam and aminoglycoside for 10 daysNo
17 [32]74MBenign prostatic hypertrophyMitralYesBeta-lactam and aminoglycoside for 4 weeksNo
18 [33]81MBenign prostatic hypertrophyMitralNoBeta-lactam and aminoglycoside for 6 weeksYes
19 [33]78MIndwelling urinary catheterAorticNoBeta-lactam; duration not reportedNo
20 [33]87MBenign prostatic hypertrophyMitralNoNot reportedNo
21 [33]78FUreteral stentAorticNoBeta-lactam and vancomycin for 2 weeksNo
22 [34]48MAtrial septal defectMitralNoBeta-lactam and aminoglycoside; duration not reportedYes
23 [34]79FRecurrent UTIsAorticNoBeta-lactam and aminoglycoside for 6 weeksYes
24 [35]91MIndwelling urinary catheterMitralNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
25 [35]91MBenign prostatic hypertrophyMitralNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
26 [35]89FNot reportedMitralNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
27 [35]86MUrethral strictureAorticNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
28 [35]83MUrethral strictureMitralNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
29 [35]80FNot reportedMitralNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
30 [35]77MNot reportedAorticNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
31 [35]75MBenign prostatic hypertrophyMitralNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
32 [35]74MSuprapubic catheterNot reportedNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
33 [35]65MIndwelling urinary catheterMitralNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
34 [35]53MNoneAorticNot reportedBeta-lactam 4 weeks and aminoglycoside for 10 daysYes
35 [35]49FIntermittent urinary catheterAorticNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
36 [35]81MIndwelling urinary catheterMitralNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
37 [35]74FNonurologic malignancyNot reportedNot reportedBeta-lactam for 4 weeks and aminoglycoside for 10 daysYes
38 [36]87MNonurologic malignancyMitralNot reportedBeta-lactam and aminoglycoside; duration not reportedNo
39 [36]77MLiver failureAorticNot reportedBeta-lactam and aminoglycoside; duration not reportedYes
40 [36]83MIndwelling urinary catheterMitralNot reportedBeta-lactam and aminoglycoside; duration not reportedYes
41 [36]73MSuprapubic catheterNot reportedNot reportedBeta-lactam and aminoglycoside; duration not reportedNo
42 [36]88FAortic stenosisAorticNot reportedBeta-lactam and aminoglycoside; duration not reportedYes
43 [8]43MIndwelling urinary catheterMitralYesBeta-lactam and aminoglycoside for 6 weeksYes
44 [37]49MPhimosis and recurrent UTIsMitralYesBeta-lactam and aminoglycoside for 5 daysNo
45 [38]84MPacemaker and nonurologic malignancyPacemakerYesBeta-lactam for 6 weeksYes
Present case55MNoneMitralYesBeta-lactam and aminoglycoside for 6 weeksYes