Endocarditis of native mitral valve which was presented like refractory septic shock

Sa？etak We showed the case of a sixty-fve-yearold woman who developed refractory septic shock as a result of endocarditis of the native mitral valve with maintained neat systolic function of the lef ventricle and moderate mitral regurgitation. Streptococcus sanguinis was isolated from hemoculture. Te patient did not have clearly known predisposing factors for the development of endocarditis, nor had elevated temperature. She died 32 hours afer being admitted to the hospital