A Case of Early Valve Replacement for Haemophilus parainfluenzae Endocarditis Complicated with Acute Cerebral Infarctions / 감염과화학요법
Infection and Chemotherapy
;
: 270-274, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-9926
ABSTRACT
Haemophilus parainfluenzae, one of the member of the HACEK group of gram-negative oropharyngeal species, is a rare cause of subacute native valve endocarditis. Infective endocarditis caused by H. parainfluenzae appears to carry a high incidence rate of cerebral embolism, often making the timing of surgical intervention difficult. A 52-year-old male was diagnosed with acute endocarditis caused by H. parainfluenzae complicated with acute cerebral infarctions. After institution of antibiotic therapy, this patient was mechanically ventilated because of the sudden onset of dyspnea. Repeated two-dimensional echocardiography demonstrated rate-dependent mitral stenosis without interval change of vegetations on the mitral valve. Making a decision regarding the timing of surgical intervention was difficult because of a fear of clinical deterioration after early valve replacement.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Ecocardiografia
/
Infarto Cerebral
/
Haemophilus
/
Incidência
/
Infecções por Paramyxoviridae
/
Implante de Prótese de Valva Cardíaca
/
Embolia Intracraniana
/
Haemophilus parainfluenzae
/
Dispneia
/
Endocardite
Tipo de estudo:
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Infection and Chemotherapy
Ano de publicação:
2011
Tipo de documento:
Artigo
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