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Case Reports in Critical Care
Volume 2013 (2013), Article ID 636519, 3 pages
Case Report

Aortic Root Abscess Presenting as Pyrexia of Unknown Origin and the Importance of Echocardiography

Department of Cardiology, Royal Hospital, PB 1331, 111 Muscat, Oman

Received 27 March 2013; Accepted 8 May 2013

Academic Editors: K. Chergui, G. Pichler, M. Podbregar, and C. D. Roosens

Copyright © 2013 Prashanth Panduranga. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aortic root abscess in patients with aortic endocarditis is not uncommon. Aortic root abscess may cause persistent sepsis, worsening heart failure, conduction abnormalities, fistula formation, and an increased need for surgery. We present a young patient with aortic root abscess presenting as pyrexia of unknown origin. She had acute severe aortic and mitral regurgitation which produced very soft murmurs that were easily missed. This report reiterates that a high index of suspicion is needed in suspecting valvular endocarditis as well as a comprehensive transthoracic and transesophageal echocardiographic examination to diagnose complications like aortic root abscess.