TY - CHAP M1 - Book, Section TI - COVID-19 Management Strategies A1 - Kulshreshtha, Sarthak A1 - Hassan, Muhammad A2 - Saad, Muhammad A2 - Vittorio, Timothy J. PY - 2022 T2 - COVID-19 and the Heart: A Case-Based Pocket Guide AB - A 71-year-old Hispanic man with medical comorbidities of diabetes mellitus, hypertension, abnormal functioning bioprosthetic aortic valve (severe aortic stenosis), and chronic kidney disease was admitted with COVID-19 pneumonia confirmed with nasopharyngeal COVID-19 reverse-transcription-polymerase chain reaction (RT-PCR) test. The patient received tocilizumab, remdesivir and dexamethasone with marked signs of improvement. He was discharged home on a tapering dose of prednisone and home oxygen. He was readmitted 3 months later with fever and chills. His blood cultures grew methicillin-sensitive Staphylococcus aureus. He was started on intravenous antibiotics for 4 weeks but remained febrile with persistent bacteremia. An electrocardiogram showed third-degree heart block (Figure 10-1A). The patient underwent a transesophageal echocardiogram (TEE) for evaluation of endocarditis (Figure 10-1B). The TEE showed aortic valve vegetation with aortic root and aortomitral curtain thickening suspicious of abscess (Figure 10-1C). He underwent aortic root abscess drainage and implantation of a redo bioprosthetic aortic valve with transvenous pacemaker placement. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1183948639 ER -