Native aortic valve pneumococcal endocarditis - fulminant presentation
| Autor: | Margarida Leal, Kevin Domingues, Liliana Marta, Isabel Monteiro |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Aortic valve
medicine.medical_specialty Fulminant Aortic Valve Insufficiency Heart Valve Diseases Case Reports Transesophageal echocardiogram Critical Care and Intensive Care Medicine Pneumococcal Infections 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Endocarditis Native Valve Endocarditis Endocarditis bacterial/diagnosis medicine.diagnostic_test business.industry Septic shock Endocarditis Bacterial General Medicine Middle Aged medicine.disease Shock Septic Cardiac surgery Surgery Pneumonia Streptococcus pneumoniae medicine.anatomical_structure 030228 respiratory system Aortic Valve Cardiology Female Pneumococcal infections/diagnosis business Echocardiography Transesophageal 030217 neurology & neurosurgery |
| Zdroj: | Revista Brasileira de Terapia Intensiva |
| ISSN: | 0103-507X |
| DOI: | 10.5935/0103-507x.20160004 |
| Popis: | Pneumococcal endocarditis is a rare entity, corresponding to 1 to 3% of native valve endocarditis cases. It has a typically adverse prognosis, with high mortality. There is a reported predilection for the aortic valve; thus, a common presentation is acute left heart failure. We present a case of a 60-year-old woman with a history of sinusitis, who was admitted with the diagnosis of pneumonia. She rapidly deteriorated with signs of septic shock and was transferred to the critical care unit. The transesophageal echocardiogram revealed severe aortic regurgitation due to valve vegetations. Blood cultures were positive for Streptococcus pneumoniae. She underwent cardiac surgery and had multiple postoperative complications. Nonetheless, the patient made a slow and complete recovery. Infectious endocarditis should be ruled out if any suspicion arises, and echocardiography should be performed in an early stage in patients with poor response to vasopressors and inotropes. Patients with pneumococcal endocarditis benefit from an aggressive approach, with performance of early surgery. |
| Databáze: | OpenAIRE |
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