A. Lefi, D. Suwanto, Evelyne Chandra, Tony Santoso Putra, Eka Prasetya Budi Mulia
{"title":"Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report","authors":"A. Lefi, D. Suwanto, Evelyne Chandra, Tony Santoso Putra, Eka Prasetya Budi Mulia","doi":"10.35975/apic.v26i5.2012","DOIUrl":null,"url":null,"abstract":"Prosthetic valve endocarditis (PVE) accounts for 20.1% of all infective endocarditis cases. We report a case of PVE complicated by arrhythmias, embolic phenomenon, and sepsis. A 64-year-old female with history of mitral valve replacement presented to the hospital with febrile episode and malaise. Echocardiography showed vegetation at paravalvular area, and Staphylococcus aureus was found on blood culture. Aggressive intravenous antibiotic cover and hemodynamic support were initiated. The management of PVE remains a challenge due to its malignant course and heterogenous complications. \nCitation: Suwanto D, Lefi A, Chandra E, Putra TS, Mulia EPB. Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report. Anaesth. pain intensive care 2022;26(5):723-726. \nDOI: 10.35975/apic.v26i5.2012","PeriodicalId":108815,"journal":{"name":"Anaesthesia, Pain & Intensive Care","volume":"5 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia, Pain & Intensive Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.35975/apic.v26i5.2012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Prosthetic valve endocarditis (PVE) accounts for 20.1% of all infective endocarditis cases. We report a case of PVE complicated by arrhythmias, embolic phenomenon, and sepsis. A 64-year-old female with history of mitral valve replacement presented to the hospital with febrile episode and malaise. Echocardiography showed vegetation at paravalvular area, and Staphylococcus aureus was found on blood culture. Aggressive intravenous antibiotic cover and hemodynamic support were initiated. The management of PVE remains a challenge due to its malignant course and heterogenous complications.
Citation: Suwanto D, Lefi A, Chandra E, Putra TS, Mulia EPB. Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report. Anaesth. pain intensive care 2022;26(5):723-726.
DOI: 10.35975/apic.v26i5.2012
人工瓣膜心内膜炎(PVE)占感染性心内膜炎病例的20.1%。我们报告一例PVE并发心律失常、栓塞现象和败血症。一位64岁女性,有二尖瓣置换术史,以发热和不适就诊。超声心动图示瓣旁区植被,血培养可见金黄色葡萄球菌。开始积极静脉注射抗生素和血流动力学支持。由于其恶性病程和异质性并发症,PVE的治疗仍然是一个挑战。引用本文:Suwanto D, Lefi A, Chandra E, Putra TS, Mulia EPB。人工瓣膜心内膜炎伴恶性病程的瓣旁赘生物1例。Anaesth。疼痛重症监护2022;26(5):723-726。DOI: 10.35975 / apic.v26i5.2012