INFECTIOUS ENDOCARDITIS ON MECHANICAL MITRAL PROSTHESIS, SEVERE PRESENTATION AND FAVOURABLE OUTCOME

Infective endocarditis (IE) is a serious and potentially fatal condition that affects the hearts inner lining, especially the heart valves. Despite advances in medical diagnosis and treatment, IE continues to pose significant challenges due to its severe complications, including embolic events, abscess formation, valve perforation, and spondylodiscitis. The left-sided heart valves (aortic and mitral) are most commonly affected by this infection. Identifying the portal of entry of the causative pathogen is crucial for effective management of the condition.This case report discusses a patient with Enterococcus faecalis infective endocarditis, who had mechanical aortic and mitral valve replacements. The infections portal of entry was traced to a digestive adenocarcinoma, which is a rare but notable cause. The case is particularly significant due to the positive outcome achieved through a combination of medical and surgical interventions, highlighting the importance of a comprehensive approach to treatment.