Enfektif Endokarditin Nadir Bir Komplikasyonu

Yıl 2018, Cilt: 12 Sayı: 1, 47 - 50, 01.04.2018

İrfan Oğuz Şahin Ahmet Şaşmazel Hazım Alper Gürsu Özgür Ceylan Mehmet Biçer Ali Kaya Fatih Duran

Öz

Tam atriyoventriküler blok (AVB) enfektif endokarditin (EE) iyi tanımlanmış ancak nadir bir komplikasyonudur. Atriyoventriküler blok derecesi enfeksiyonun yayılımını yansıtır. Bu yüzden AVB derecesinin artmış morbidite ve mortalite ile ilişkili olduğu düşünülmektedir. Yeni gelişen AVB’nin EE göstergesi olarak değerlendirilmesi ve tanı koyulduktan sonra EE’nin mümkün olduğunca çabuk tedavi edilmesi önerilmektedir. Burada, erken dönemde 1.derece AVB olup uygun tedavi başlanana dek 3.derece AVB ortaya çıkan aort kapak endokarditli bir hasta sunulacaktır. Başarılı cerrahi girişim ve uygun antibiyotik tedavisi sonrasında AVB hiçbir komplikasyon olmaksızın düzelmiştir.

Anahtar Kelimeler

Atriyoventriküler blok, Çocuk, Enfektif endokardit

A Rare Complication of Infective Endocarditis

Öz

Complete atrioventricular block (AVB) is one of the well described but uncommon complications of infective endocarditis (IE). The degree of AVB reflects the extension of infection. The degree of AVB is thought to be associated with increased morbidity and mortality. It is recommended to evaluate newly developed AVBs as predictors of IE, to diagnose and treat IE as soon as possible. We report a case with delayed diagnosis of aortic valve endocarditis that revealed first degree AVB in the earlier phase of disease and followed by complete AVB until accurate treatment was started. Successful surgical intervention and antibiotherapy resulted in a downgrading and diminishing of the high-grade conduction block without any complications

Anahtar Kelimeler

Atrioventricular block, Child, Infective endocarditis

Kaynakça

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