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CASE REPORT
Year : 2014  |  Volume : 11  |  Issue : 2  |  Page : 149-152

Salmonella paratyphi A endocarditis complicating chronic rheumatic heart disease: A case report with review of literature


1 Department of Medicine, Government Medical College, Srinagar, India
2 Department of Medicine, Disrict Hospital, Anantnag, Jammu and Kashmir, India

Correspondence Address:
Ishrat H Dar
P. O. Box 90, GPO Srinagar - 190 001, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0189-7969.142144

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Infective endocarditis is a rare complication of salmonellosis. The most commonly observed species in endemic areas is Salmonella typhi as a cause of enteric fever associated with various complications. Endocarditis caused by Salmonella paratyphi is very rare and so far only seven cases have been reported in medical literature. We report a case of Salmonella paratyphi A endocarditis in a 20 year old young man who had an underlying chronic rheumatic heart disease with aortic and mitral valve involvement. These rare cardiac complications should always be considered especially in persons with underlying congenital or acquired cardiac diseases with unrelenting fever particularly if they reside in an endemic area of enteric fever or during outbreak of the disease. The case is highlighted not only for its rarity but also to keep in mind the importance of looking minutely for uncommon organisms like Salmonella paratyphi in cases of PUO and complicated chronic rheumatic heart disease.


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