Fusobacterium necrophorum causing infective endocarditis and liver and splenic abscesses / Fusobacterium necrophorum causando endocardite infecciosa e abscesso hepático e esplênico
Rev. Inst. Med. Trop. Säo Paulo
; 53(3): 169-172, May-June 2011. ilus, tab
Article
in En
| LILACS
| ID: lil-592778
Responsible library:
BR1.1
ABSTRACT
A 25-year-old male without prior co-morbidities was admitted to hospital with Fusobacterium necrophorum bacteremia, where he was found to have liver and splenic abscesses. Further evaluation with echocardiography revealed a bicuspid aortic valve with severe insufficiency and a 1.68 x 0.86 cm vegetation. The patient required abscess drainage, intravenous antimicrobial therapy and aortic valve replacement. Complete resolution of the infection was achieved after valve replacement and a prolonged course of intravenous antimicrobial therapy. A brief analysis of the patient's clinical course and review of the literature is presented.
RESUMO
Homem de 25 anos de idade, sem antecedentes mórbidos foi admitido ao hospital com bacteremia por Fusobacterium necrophorum e abscessos no fígado e no baço. Avaliação posterior com ecografia revelou válvula aórtica bicúspide com insuficiência severa e vegetação de 1,68 x 0,86 cm. Foi feita drenagem dos abscessos, terapia antimicrobiana intravenosa e substituição da válvula aórtica. Resolução completa da infecção foi conseguida após substituição valvular e curso prolongado de terapêutica intravenosa antimicrobiana. É apresentada breve análise do curso clínico do paciente e revisão da literatura.
Key words
Full text:
1
Index:
LILACS
Main subject:
Splenic Diseases
/
Bacteremia
/
Abdominal Abscess
/
Endocarditis, Bacterial
/
Fusobacterium Infections
/
Fusobacterium necrophorum
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Rev. Inst. Med. Trop. Säo Paulo
Journal subject:
MEDICINA TROPICAL
Year:
2011
Type:
Article