Successful Resolution of Early-Onset Prosthetic Valve Endocarditis Associated With Extended Spectrum β-Lactamases Producing Escherichia coli With Medical Management
Autor: | Maurice Policar, K. Johnson, Aisha Amin, Umaima Dhamrah |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Epidemiology Case Report 030204 cardiovascular system & hematology medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Mitral valve Escherichia Palpitations Medicine 030212 general & internal medicine cardiovascular diseases Safety Risk Reliability and Quality Prosthetic valve endocarditis Escherichia coli Early onset biology business.industry infective endocarditis E coli biology.organism_classification medicine.disease echocardiogram empiric treatment prosthetic valve Surgery TEE medicine.anatomical_structure ESBL Infective endocarditis cardiovascular system TTE Chills medicine.symptom business Safety Research |
Zdroj: | Journal of Investigative Medicine High Impact Case Reports |
ISSN: | 2324-7096 |
Popis: | A 74-year-old male with a recent bioprosthetic mitral valve placement presented with dyspnea, chills, and palpitations. Blood cultures on admission grew extended spectrum β-lactamase Escherichia coli. Transthoracic echocardiogram and transesophageal echocardiography were negative for valvular vegetations, but given the recent history of mitral valve replacement and difficulty visualizing valvular vegetations in prosthetic valve, we initiated treatment of our patient with antibiotics for 6 weeks. Repeat blood cultures showed clearance of the organism and on follow-up, and the patient had no signs of recurrence of infection. |
Databáze: | OpenAIRE |
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