Endocarditis infecciosa en válvula tricúspide: Presentación clínica y evolución en paciente sin factores de riesgo clásicos. Endocarditis infecciosa tricuspídea: a propósito de un caso / Infective endocarditis in the tricuspid valve: Clinical presentation and evolution in patient without classic risk factors. Tricuspid infectious endocarditis: a case report
Rev. méd. Maule
;
34(2): 52-57, dic. 2019. ilus
Article
in Spanish
| LILACS
| ID: biblio-1371318
ABSTRACT
Infective endocarditis (IE) correspond to a serious condition of the endocardium, with clinical and classic risk factors. Heart failure is described as the main complication and cause of mortality. A 58-year-old diabetic female patient, with fever, weight loss and history of 10 months of fatigue, is presented below. She is hospitalized in Hospital Regional de Talca, in Medicine Service, where she is diagnosed of right IE by blood cultures (Streptococcus Sanguis) and transthoracic echocardiogram, that showed vegetations in the tricuspid valve and severe insufficiency. Without clinical improvement despite antibiotic treatment, echocardiography is repeated, showing persistence of vegetations and insufficiency, so that surgical resolution is decided, taking place in Hospital Gustavo Grant Benavente Concepción, with clinical recovery after surgery. It highlights a classic and larval presentation of the disease, but without classic risk factors for right IE, also associated with glomerulonephritis. The antibiotic eliminated bacteremia, but the valve damage was already established.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Endocarditis
/
Endocarditis, Bacterial
/
Cardiac Surgical Procedures
Type of study:
Etiology study
/
Risk factors
Limits:
Female
/
Humans
Language:
Spanish
Journal:
Rev. méd. Maule
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Regional de Talca/CL
/
Universidad Católica del Maule/CL
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