RESUMO
Streptococcus agalactiae (S. agalactiae) is a rare cause of infective endocarditis, which is associated with a high mortality rate. Endocarditis in adults is generally related to immunocompromised states. We hereby report the case of a 35 year old man who presented with fever and delirium in whom aortic valve endocarditis due to S. agalactiae was detected. Though most patients with S. agalactiae endocarditis need surgical intervention along with antibiotics, our patient improved with medical therapy alone.
Assuntos
Adulto , Quimioterapia Combinada/administração & dosagem , Endocardite Bacteriana/diagnóstico , Seguimentos , Gentamicinas/administração & dosagem , Humanos , Infusões Intravenosas , Masculino , Penicilinas/administração & dosagem , Infecções Estreptocócicas/diagnóstico , Streptococcus agalactiae/isolamento & purificação , Resultado do TratamentoRESUMO
Membranous obstruction of vena cava (MOVC) is a common cause of hepatic venous outflow obstruction. Surgical procedures utilized to relieve symptoms carry a high morbidity and mortality. A patient who presented with gradual onset ascites and dilated, tortuous veins over the anterior abdominal wall and the back was found to have MOVC by inferior vena cavogram. Balloon dilatation of the obstruction was done successfully through a transvenous approach. Following this, the patient improved remarkably. The procedure is safe, effective and easy to perform. This balloon angioplasty provides alternative method for treatment of membranous obstruction of vena cava.