endocarditis with an uncommon germ

نویسندگان

m. gharouni

s. moradm m. j. mahmoodi

چکیده

enterococci are normal inhabitants of gastrointestinal tract, being responsible for 5 to 18% of infective endocarditis and the incidence appears to be increasing. eleven patients with enterococcal endocarditis were studied. in a case series group, 10 men (average 57 years) and one woman (37 years) were studied. two patients had rheumatic heart disease, 5 patients arteriosclerotic disease and one patient chronic renal failure on hemodialysis. ten patients were treated with ampicillin and gentamycin. valve replacement was performed in 3 patients with aortic valve endocarditis, one on 8th day and two at the end of the treatment. overall clinical cure was achieved in 9 patients. two relapses occurred and 2 patients died as a result of refractory congestive heart failure and cerebral emboli. all of the enterococcal endocarditis cases were community acquired. in conclusion, infective endocarditis in patients with preexistent valvular heart disease, community acquisition and non specific symptoms with bacteriuria should be considered as enterococcal endocarditis.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

An uncommon onset for tricuspid endocarditis

Discussion/Conclusion Most of the cases of tricuspid endocarditis (nearly 80%) are found in intravenous drug users. This case has a very rare entry of bacteria. First, because it started nearly two months ago and second because the skin infection almost had disappeared when the patient was diagnosed of endocarditis. There is no standardized surgical procedure for tricuspid endocarditis. In this...

متن کامل

Actinomyces naeslundii: An Uncommon Cause of Endocarditis

Actinomyces rarely causes endocarditis with 25 well-described cases reported in the literature in the past 75 years. We present a case of prosthetic valve endocarditis (PVE) caused by Actinomyces naeslundii. To our knowledge, this is the first report in the literature of endocarditis due to this organism and the second report of PVE caused by Actinomyces.

متن کامل

An uncommon cause of recurrent strokes: Tropheryma whippelii endocarditis.

BACKGROUND Cardiac involvement in Whipple's disease is not an uncommon phenomenon in autopsies, but its clinical occurrence is often overshadowed by gastrointestinal symptoms. We report a very atypical manifestation of this disorder. SUMMARY OF REPORT An extraordinary presentation of an extremely long-lasting, culture-negative endocarditis caused by Tropheryma whippelii is described, the clin...

متن کامل

Infective Endocarditis: A Rare Organism in an Uncommon Setting

Facklamia hominis is a rare causative organism of infective endocarditis (IE). Only few cases of infection due to F. hominis have been reported in the literature. We describe a case of IE due to Gram-positive, alpha-haemolytic, catalase-negative coccus F. hominis in an adult patient with rheumatic mitral stenosis. Isolated mitral stenosis is an uncommon valve lesion predisposing to IE. The foll...

متن کامل

Thermomyces lanuginosus infective endocarditis: Case report and a review of endocarditis due to uncommon moulds☆

We describe a case of Thermomyces lanuginosus endocarditis, the first reported in a living patient, and review the literature to delineate the clinical characteristics, investigations and management of endocarditis due to such rare but emerging mould pathogens.

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
acta medica iranica

جلد ۴۴، شماره ۳، صفحات ۲۱۳-۲۱۶

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023