Endocarditis infecciosa por Neisseria gonorroheae / Infectious endocarditis due to Neisseria gonorrhoeae
Medicina (B.Aires)
;
81(5): 861-864, oct. 2021. graf
Article
in Spanish
| LILACS
| ID: biblio-1351063
RESUMEN
Resumen Se presenta un caso de endocarditis infecciosa por Neisseria gonorrhoeae, en un paciente masculino de 38 años, sin factores de riesgo cardiovascular ni otros antecedentes previos. La sospecha diagnóstica comienza por síndrome febril prolongado, astenia y pérdida de peso, confirmada con rescate de gonococo en los hemocultivos. Cumplió tratamiento antibiótico con ceftriaxona por 29 días. Evoluciona con insu ficiencia aórtica grave por lo cual se realiza cirugía de reemplazo valvular por prótesis mecánica bidisco exitosa, con una evolución favorable.
ABSTRACT
Abstract We report a case of infectious endocarditis due to Neisseria gonorrhoeae in a 38-year-old male patient with no cardiovascular risk factors or past medical history who presented with prolonged febrile illness, asthenia and weight loss. The blood cultures were positive for gonococcus. He received antibiotic treatment with ceftriaxone for 29 days. The patient developed severe aortic regurgitation and underwent surgical aortic valve replacement with a bileaflet mechanical prosthesis, with favorable outcome.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Valve Insufficiency
/
Heart Valve Prosthesis
/
Endocarditis, Bacterial
Type of study:
Risk factors
Limits:
Adult
/
Humans
/
Male
Language:
Spanish
Journal:
Medicina (B.Aires)
Journal subject:
Medicine
Year:
2021
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Hospital General de Agudos Dr. Cosme Argerich/AR
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