Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities.
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 |
Resumo: | 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. |
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Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities.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 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.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.Ordem dos Médicos2010-10-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702oai:ojs.www.actamedicaportuguesa.com:article/702Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 945-50Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 945-501646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702/380Teixeira, TiagoVieira, ManuelaBastos, MesquitaSantos, José Antónioinfo:eu-repo/semantics/openAccess2022-12-20T10:56:44Zoai:ojs.www.actamedicaportuguesa.com:article/702Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:41.899535Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. Endocardite por escherichia coli em válvula aórtica protésica - particularidades do diagnóstico e tratamento. |
title |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
spellingShingle |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. Teixeira, Tiago |
title_short |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
title_full |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
title_fullStr |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
title_full_unstemmed |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
title_sort |
Escherichia coli's endocarditis in a prosthetic aortic valve - diagnostic and therapeutic particularities. |
author |
Teixeira, Tiago |
author_facet |
Teixeira, Tiago Vieira, Manuela Bastos, Mesquita Santos, José António |
author_role |
author |
author2 |
Vieira, Manuela Bastos, Mesquita Santos, José António |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Teixeira, Tiago Vieira, Manuela Bastos, Mesquita Santos, José António |
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. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-10-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 oai:ojs.www.actamedicaportuguesa.com:article/702 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/702 |
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por |
language |
por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/702/380 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 23 No. 5 (2010): September-October; 945-50 Acta Médica Portuguesa; Vol. 23 N.º 5 (2010): Setembro-Outubro; 945-50 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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