Actinobacillus Endocarditis Associated with Hypertrophic Cardiomyopathy
| Autor: | Vanda Cristina Jorge, Ana Carolina Araújo, António Panarra, Carla Noronha, Nuno Riso, Ana Grilo, Manuel Vaz Riscado |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Cardiomyopathy Heart Valve Diseases Eikenella corrodens Fever of Unknown Origin Aggregatibacter actinomycetemcomitans Article Mitral valve medicine Endocarditis Humans Abscess Septic embolism biology business.industry General Medicine Endocarditis Bacterial Cardiomyopathy Hypertrophic Middle Aged medicine.disease biology.organism_classification HCC MED Surgery Anti-Bacterial Agents medicine.anatomical_structure Infective endocarditis Mitral Valve Pasteurellaceae Infections Cardiobacterium hominis business Echocardiography Transesophageal |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP |
| Popis: | Infective endocarditis can be associated with complex clinical presentations, sometimes with a difficult multi-disciplinary management. Actinobacillus actinomycetemcomitans belongs to the Haemophilus species, Actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens and Kingella species group, responsible for 5% to 10% of infective endocarditis in native heart valves. These organisms have slow fastidious growth pattern, often associated with negative cultures, and cause systemic embolism with abscess formation. The authors present the case of a 59-year-old man, admitted due to fever of unknown origin, with a personal history of obstructive hypertrophic cardiomyopathy and recent dental manipulation. The diagnosis of mitral valve's endocarditis was established after a transoesophageal ecocardiography, with a late isolation of A actinomycetemcomitans in blood culture. Despite the institution of antibiotic therapy, the patient suffered from multiple episodes of septic embolism: skin, mucosae, cerebral abscesses, spondylodiscitis and uveitis. He was submitted to heart surgery with miectomy and replacement of the native mitral valve by a mechanical prosthesis, while on antibiotics. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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