Abiotrophia defectiva endocarditis
Autor: | Rajeev Nagassar, Jodian Amor Pinkney, Trevor S. Ferguson, Karen Roye-Green |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty relapsing fever medicine.medical_treatment Article Abiotrophia medicine Endocarditis Humans Gram-Positive Bacterial Infections Abiotrophia defectiva Heart Failure Heart Valve Prosthesis Implantation Mitral regurgitation biology business.industry Mitral valve replacement Mitral Valve Insufficiency General Medicine Endocarditis Bacterial medicine.disease biology.organism_classification Surgery Anti-Bacterial Agents Joint pain Mitral Valve medicine.symptom business Rare disease |
Popis: | A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have Abiotrophia defectiva endocarditis. This was the first time this organism had been isolated at our institution. Despite culture directed antibiotics, his clinical course was quite severe with mitral regurgitation and congestive cardiac failure requiring mitral valve replacement. He recovered well postoperatively and is currently being followed at our outpatient cardiology clinic. This report highlights the severe presentation and often poor outcome associated with A. defectiva endocarditis and stresses that the outcome may be improved by early and appropriate surgical intervention. |
Databáze: | OpenAIRE |
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