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Persistent cough. Chest x-ray shows pleural thickening. Taken antibiotics. Loss of voice due to MVP?

my brother had persistent cough for around 2 months frm now.v consutle faily physician chest xray was taken.except for pleural thickening nothing else was seen in the xray.with antibiotics the thikening reduced.he suddenly had a loss of voice which lasted for 1 week .then he had to be admitted and the doctors they took 2d eco,chest xray.there is an enlargement in heart size.and the doctors say he has severe MR ,diagnosed as MVP gr 2 ( mitral valve prolapse )blood was sent for culturing reports say no growth after 5 days of incubation.we are very it really MVP ?is it necessarry to change his valves if the valve in infected...please let me know..
Asked On : Mon, 11 Feb 2013
Answers:  1 Views:  75
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Internal Medicine Specialist 's  Response

I am really sorry to hear about your brother

As you have said that your brother has pleural thickening due to MVP with chronic cough

Cough is a common problem in MVP as patients have backflow bloood to lungs causing water in lung

Infection of mitral valve is common to cause MVP , so cultures if came negative we still give antibiotics to treat non-culturable organisms

If the heart is enlarged , no need to change the valve , and no1 will change the valva at this time may be later

He will be fine with antibiotics and LASIX , besides its grade 2 regurge

Loss of voice was due to increase in heart size , lasix + nitrates will decrease the pressure on voice nerve

Hope this helps
Answered: Thu, 29 Aug 2013
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