Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento.
Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparat...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
2010-10-01
|
| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 |
| _version_ | 1797996827893563392 |
|---|---|
| author | Tiago Teixeira Manuela Vieira Mesquita Bastos José António Santos |
| author_facet | Tiago Teixeira Manuela Vieira Mesquita Bastos José António Santos |
| author_sort | Tiago Teixeira |
| collection | DOAJ |
| description | Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparatus. We present a case report of a 68-year-old man, with a history of aortic valvular mechanic prosthesis, dyslipidemia and hypertension, admitted at the emergency room with refractory fever and urinary tract symptoms. On the hypothesis of endocarditis, he was submitted to transesofagic echocardiography that suggested a prosthetic vegetation, without hemodynamic dysfunction. E. coli was cultured from the blood soon after, and antibiotics adapted according to sensibility testing. Nevertheless, the patient deteriorated, both clinically and echocardiographically, with development of periprosthesis abscess, detachment of the prosthesis and extension of the infection to other valves, with hemodynamic dysfunction. The infection was only restrained with a surgical approach, which reflects the importance of this therapeutic weapon in these situations, including the correct timing. |
| first_indexed | 2024-04-11T10:23:41Z |
| format | Article |
| id | doaj.art-5f04af87f71d4a04bbd133ba51ca6d52 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:23:41Z |
| publishDate | 2010-10-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-5f04af87f71d4a04bbd133ba51ca6d522022-12-22T04:29:39ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582010-10-0123510.20344/amp.702Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento.Tiago Teixeira0Manuela VieiraMesquita BastosJosé António SantosServiço de Cardiologia, Hospital Infante D. Pedro, Aveiro.Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparatus. We present a case report of a 68-year-old man, with a history of aortic valvular mechanic prosthesis, dyslipidemia and hypertension, admitted at the emergency room with refractory fever and urinary tract symptoms. On the hypothesis of endocarditis, he was submitted to transesofagic echocardiography that suggested a prosthetic vegetation, without hemodynamic dysfunction. E. coli was cultured from the blood soon after, and antibiotics adapted according to sensibility testing. Nevertheless, the patient deteriorated, both clinically and echocardiographically, with development of periprosthesis abscess, detachment of the prosthesis and extension of the infection to other valves, with hemodynamic dysfunction. The infection was only restrained with a surgical approach, which reflects the importance of this therapeutic weapon in these situations, including the correct timing.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 |
| spellingShingle | Tiago Teixeira Manuela Vieira Mesquita Bastos José António Santos Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. Acta Médica Portuguesa |
| title | Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
| title_full | Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
| title_fullStr | Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
| title_full_unstemmed | Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
| title_short | Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
| title_sort | endocardite por escherichia coli em valvula aortica protesica particularidades do diagnostico e tratamento |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 |
| work_keys_str_mv | AT tiagoteixeira endocarditeporescherichiacoliemvalvulaaorticaprotesicaparticularidadesdodiagnosticoetratamento AT manuelavieira endocarditeporescherichiacoliemvalvulaaorticaprotesicaparticularidadesdodiagnosticoetratamento AT mesquitabastos endocarditeporescherichiacoliemvalvulaaorticaprotesicaparticularidadesdodiagnosticoetratamento AT joseantoniosantos endocarditeporescherichiacoliemvalvulaaorticaprotesicaparticularidadesdodiagnosticoetratamento |