Bacterial Endocarditis Caused by Abiotrophia defectiva in a Healthy Adult: A Case Report with Literature Review / 대한임상미생물학회지
Annals of Clinical Microbiology
;
: 23-27, 2019.
Artigo
em Coreano
| WPRIM
| ID: wpr-739010
ABSTRACT
Infective endocarditis caused by Abiotrophia defectiva is rarely encountered. A 67-year-old male transferred from a local hospital presented with severe dyspnea and pulmonary edema. Preoperative transthoracic echocardiography revealed severe mitral regurgitation with large vegetation. Blood cultures grew A. defectiva, a gram positive, nutritionally deficient streptococcus variant. Emergent mitral valve replacement through right thoracotomy was performed, and after completing six weeks of antibiotic combination therapy (vancomycin, ampicillin, and gentamicin), the patient recovered fully. Because of the need for prompt surgical treatment and long-term antibiotic therapy and lack of laboratory experience with the organism, physicians and laboratory workers should pay close attention to the possibility of A. defectiva infective endocarditis when gram positive cocci are detected in blood cultures.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Edema Pulmonar
/
Streptococcus
/
Toracotomia
/
Ecocardiografia
/
Cocos Gram-Positivos
/
Dispneia
/
Endocardite
/
Endocardite Bacteriana
/
Abiotrophia
/
Ampicilina
Limite:
Adulto
/
Idoso
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Annals of Clinical Microbiology
Ano de publicação:
2019
Tipo de documento:
Artigo
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