Öz
Enfektif endokardit, gelişmiş tanı araçları ve geniş
tedavi seçeneklerine rağmen, özellikle Staphylococcus aureus’a bağlı ise,
yüksek morbidite ve mortalitesi olan ciddi bir enfeksiyöz durumdur. Etkili
antibiyotik rejimlerine rağmen, uygun hastalarda cerrahi müdahale kararı vermek
hayat kurtarıcı olabilmektedir. Bu raporda, ateş nedeniyle başvuran 59
yaşındaki erkek hastayı sunduk. Metisilin-duyarlı Staphylococcus aureus’un yol
açtığı aortik kapak endokarditi, AV tam blok, kapak perforasyonu, kalp
yetersizliği ve sistemik emboli ile komplike oldu.
Anahtar Kelimeler
Kaynakça
- 1. Acikel S, Kilic H, Dogan M, Yeter E. Abscess, aneurysm, fistula, and complete AV block in infective endocarditis of the aortic valve: the four horsemen of the apocalypse. Herz 2014;39:776-779. 2. Sousa A, Lebreiro A, Sousa C, Correia AS, Almeida P, Macedo F, et al. An atypical presentation of infective endocarditis. Rev Port Cardiol 2012;31:829-832. 3. Dogan A. [Reflections from infective endocarditis guideline by European Society of Cardiology; What will change in our practice?]. Turk Kardiyol Dern Ars 2015;43:673-677. 4. Gulmez O, Aydin M. Complicated left-sided infective endocarditis in chronic hemodialysis patients: a case report. Turk Kardiyol Dern Ars 2017;45:73-76. 5. Hasebe H, Takanohashi A, Shirota K, Nakamura H. Infective Endocarditis with Intermittent Atrioventricular Block and Pseudoaneurysm of the Mitral-aortic Intervalvular Fibrosa in a Patient with Severe Aortic Stenosis. Intern Med 2016;55:2825-2829. 6. Brown RE, Chiaco JM, Dillon JL, Catherwood E, Ornvold K. Infective Endocarditis Presenting as Complete Heart Block With an Unexpected Finding of a Cardiac Abscess and Purulent Pericarditis. J Clin Med Res 2015;7:890-895. 7. Gordon RJ, Lowy FD. Pathogenesis of methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis 2008;46 Suppl 5:S350-359. 8. Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler VG, Jr. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin Microbiol Rev 2015;28:603-661.
Öz
Infective endocarditis is a serious infectious
condition with high morbidity and mortality despite improved diagnostic tools
and expanded therapeutic options especially in cases caused by Staphylococcus aureus.
Despite effective antibiotic regimens, deciding on surgical intervention in
appropriate patients can be lifesaving. In this report, we presented the case
of a 59-year-old man, admitted for fever, which was found to be the result of
methicillin-sensitive Staphylococcus aureus aortic valve endocarditis,
complicated by complete AV block, valvular perforation, heart failure, and systemic
embolism.
Anahtar Kelimeler
complete av block infective endocarditis staphylococcus aureus
Kaynakça
- 1. Acikel S, Kilic H, Dogan M, Yeter E. Abscess, aneurysm, fistula, and complete AV block in infective endocarditis of the aortic valve: the four horsemen of the apocalypse. Herz 2014;39:776-779. 2. Sousa A, Lebreiro A, Sousa C, Correia AS, Almeida P, Macedo F, et al. An atypical presentation of infective endocarditis. Rev Port Cardiol 2012;31:829-832. 3. Dogan A. [Reflections from infective endocarditis guideline by European Society of Cardiology; What will change in our practice?]. Turk Kardiyol Dern Ars 2015;43:673-677. 4. Gulmez O, Aydin M. Complicated left-sided infective endocarditis in chronic hemodialysis patients: a case report. Turk Kardiyol Dern Ars 2017;45:73-76. 5. Hasebe H, Takanohashi A, Shirota K, Nakamura H. Infective Endocarditis with Intermittent Atrioventricular Block and Pseudoaneurysm of the Mitral-aortic Intervalvular Fibrosa in a Patient with Severe Aortic Stenosis. Intern Med 2016;55:2825-2829. 6. Brown RE, Chiaco JM, Dillon JL, Catherwood E, Ornvold K. Infective Endocarditis Presenting as Complete Heart Block With an Unexpected Finding of a Cardiac Abscess and Purulent Pericarditis. J Clin Med Res 2015;7:890-895. 7. Gordon RJ, Lowy FD. Pathogenesis of methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis 2008;46 Suppl 5:S350-359. 8. Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler VG, Jr. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin Microbiol Rev 2015;28:603-661.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 4 Ocak 2018 |
| Gönderilme Tarihi | 7 Ağustos 2017 |
| Yayımlandığı Sayı | Yıl 2017 |
SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır