Personality Disorder as the Initial Presentation of a Complicated Endocarditis: Diagnostic Challenges in the CARDIO-PSYCHIATRY

Author Info

Alfredo Pérez-Cuadra Jorge Villalpando-Hernández Mario Zuñiga Renata Díaz-Pérez Ricardo A. Valdovinos-Nuñez

Corresponding Author

Mario Zuñiga
Internal Medicine Service, Instituto de Seguridad Social y Trabajadores del Estado, Hospital Regional Licenciado Adolfo Lopez Mateos, Mexico City, Mexico

A B S T R A C T

Background: Bacterial endocarditis is a rare infectious entity with a very heterogeneous clinical spectrum; neurological manifestations are the most frequent and serious extracardiac complications of infective endocarditis. However, little is known about the psychiatric manifestations and / or sequels due to septic embolism of the infective endocarditis. Case Report: 50-year-old male, history of arterial hypertension and nephrolithiasis with recurrent urinary tract infections. He began his condition with behavioral changes characterized by marked impulsivity and instability in his interpersonal relationships, adding repetitive events of fever and nephrolithiasis requiring urological interventions and antibiotic therapy. Upon admission assessed by psychiatry because of his impulsive behavior and emotional changes with the presumptive diagnosis of borderline personality disorder. Conclusion: In the following work we describe the first case found in the literature of a psychiatric manifestation in a male patient as the initial complication of a subacute bacterial endocarditis, his diagnostic approach, clinical picture and therapeutic outcome. The early recognition of the clinical picture and the diagnostic approach allowed to establish effective antibiotic treatment; to recognize that bacterial endocarditis might present in a multifaceted way allows to suspect this disease and give treatment opportunely to reduce its burden and mortality.

Article Info

Article Type

Case Report

Publication history

Received: Fri 14, Feb 2020
Accepted: Wed 04, Mar 2020
Published: Mon 30, Mar 2020

Copyright

© 2023 Mario Zuñiga. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.CDM.2020.01.02