Abstract
This article presents a complex case of infective endocarditis in a 27-year-old intravenous heroin user with atypical manifestations. Initially presenting with gastrointestinal symptoms, the patient's condition evolved into acute respiratory distress, mimicking SARS-CoV-2 pneumonia. Further diagnostic investigations revealed right-sided heart endocarditis caused by methicillin-resistant Staphylococcus aureus, highlighting the challenges in diagnosing this pathology. This case provides valuable insights into understanding infective endocarditis, emphasizing the importance of timely and multidisciplinary interventions in addressing the challenges associated with this condition, particularly in cases with atypical manifestations and comorbidities.
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