Infective endocarditis with atypical clinical feature and relapse by Abiotrophia defectiva

Autor: Ilkay Bozkurt, Metin Coksevim, Idris Bugra Cerik, Okan Gulel, Esra Tanyel, Hakan Leblebicioglu
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of the Saudi Heart Association, Vol 29, Iss 2, Pp 136-138 (2017)
Druh dokumentu: article
ISSN: 1016-7315
DOI: 10.1016/j.jsha.2016.06.003
Popis: A case of infective endocarditis caused by an uncommon agent Abiotrophia defectiva with atypical manifestations is presented. A 42-year-old woman previously had rheumatic heart disease, presented with the symptoms of fever and chills that resolved within 3 days under antibiotherapy. She was diagnosed with endocarditis due to A. defectiva. Despite culture-directed antibiotics being administered in the first admission, her symptoms and also blood culture growth relapsed 3 weeks later. She was successfully treated with antimicrobial therapy and surgical intervention including aorta and mitral valve replacement. This case demonstrates that A. defectiva should be considered as a causative organism of endocarditis particularly in the presence of atypical symptoms and should be followed up carefully in terms of relapses and complications.
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