2024 Cardiovascular pathology : th…

Behcet's syndrome masquerading as infective endocarditis: A diagnostic conundrum and therapeutic challenge.

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Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology Vol. 71 : 107648 • Jul 2024

This case report presents a 20-year-old male patient initially diagnosed with infective endocarditis, later correctly identified as Behcet's syndrome. The patient's complex clinical presentation, including chest pain, aortic dilation, severe aortic regurgitation, and aortic root abscess, posed significant diagnostic and therapeutic challenges. Despite initial misdiagnosis and treatment difficulties, the patient's condition significantly improved with appropriate immunosuppressive therapy, underscoring the potential for successful management of this complex condition. This case serves as a valuable reminder of the diagnostic challenges posed by Behcet's syndrome and the importance of considering this condition in patients presenting with symptoms suggestive of infective endocarditis.

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