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Rev. chil. cardiol ; 33(2): 147-151, 2014. ilus
Article in Spanish | LILACS | ID: lil-726141

ABSTRACT

Se presenta el caso clínico de un paciente de 53 años que tras una intervención neuroquirúrgica (laminectomía) presentó cuadro séptico. Se identificó la presencia de S. lugdunensis en la herida operatoria. El ecocardiograma transesofágico demostró rotura valvular mitral, vegetaciones e insuficiencia mitral masiva. El paciente se recuperó satisfactoriamente tras reemplazo valvular por prótesis mecánica.


A 53 year old man developed sepsis following laminectomy for spinal disease. S lugdunensis was identified from the surgical wound. Trans esophageal echocardiography demonstrated mitral valve rupture, vegetations and severe mitral regurgitation. The patient successfully recovered following mitral valve replacement with a mechanical prosthesis.


Subject(s)
Humans , Male , Middle Aged , Endocarditis, Bacterial/diagnosis , Endocarditis, Bacterial/therapy , Staphylococcal Infections/diagnosis , Staphylococcal Infections/therapy , Anti-Bacterial Agents/therapeutic use , Cross Infection , Heart Valve Prosthesis Implantation/methods , Staphylococcus lugdunensis/isolation & purification , Mitral Valve/surgery , Mitral Valve/microbiology
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