RESUMO
A twenty-nine-year old woman with a history of rheumatic fever and both mitral and tricuspid valve prolapse (without cardiac effects on the echocardiogram) presented with Streptococcus viridans infective endocarditis of both the tricuspid and mitral valves at seventeen weeks' gestation. Twelve weeks before admission she underwent a dental curettage and received presumably adequate antibiotic prophylaxis. The present case was successfully managed by means of aggressive antibiotic therapy appropriate for endocarditis, with adequate and appropriate monitoring of minimal inhibitory concentration and peak and trough levels. This case exhibits the appropriate management in the three phases of therapy for valvular disease, ie prevention, treatment, and subsequent prevention of sequelae, prior to vaginal delivery in a patient with endocarditis. The pregnancy resulted in a term vaginal delivery, without maternal or fetal morbidity.
Assuntos
Endocardite Bacteriana , Complicações Cardiovasculares na Gravidez , Complicações Hematológicas na Gravidez , Infecções Estreptocócicas , Adulto , Endocardite Bacteriana/diagnóstico , Endocardite Bacteriana/terapia , Feminino , Humanos , Valva Mitral , Gravidez , Complicações Cardiovasculares na Gravidez/diagnóstico , Complicações Cardiovasculares na Gravidez/terapia , Complicações Hematológicas na Gravidez/diagnóstico , Complicações Hematológicas na Gravidez/terapia , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/terapia , Valva TricúspideRESUMO
The authors present a case of a twenty-nine-year-old woman with Williams syndrome and non-Hodgkin's lymphoma. The patient had been told that she had had an atrial septal defect from the time of her birth.
Assuntos
Estenose da Valva Aórtica/complicações , Face/anormalidades , Linfoma de Células B/etiologia , Neoplasias do Mediastino/etiologia , Prolapso da Valva Mitral/complicações , Adulto , Estenose da Valva Aórtica/genética , Pressão Sanguínea , Cateterismo Cardíaco , Feminino , Humanos , Deficiência Intelectual/complicações , Deficiência Intelectual/genética , Linfoma de Células B/diagnóstico , Linfoma de Células B/cirurgia , Neoplasias do Mediastino/diagnóstico , Neoplasias do Mediastino/cirurgia , Prolapso da Valva Mitral/genética , Síndrome , Tomografia Computadorizada por Raios XRESUMO
The authors discuss the hypereosinophilic syndrome:incidence, terminology, cytotoxicity, clinical presentation and diagnosis, prognosis, and treatment, and they provide a literature review.
