Granulicatella adiacens endocarditis of a complex congenital heart disease on an adult

Clinical research and trials Pub Date : 2019-01-01 DOI:10.15761/crt.1000285

N. Espinola-Zavaleta, Luis Javier Castellanos-Vizcaíno, Andrea Salazar-Vitale, Rodrigo Escalante-Armenta, E. Alexanderson-Rosas

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Abstract

We present a 23-year-old man with complex CHD, who came to our institution due to moderate exertion dyspnea and fever. He was diagnosed with mitral valve endocarditis and Granulicatella adiacens was isolated. He was treated with antibiotics and discharged as he refused surgery. He came back on August 2019 with progressive increase of abdominal perimeter, lower limbs edema and chest pain. On cardiac examination pericardial rub and III/VI apical holosystolic murmur were found. The transthoracic echocardiogram showed situs solitus, atrioventricular discordance, double-outlet right ventricle with transposition of great arteries, interventricular septal defect, moderate tricuspid regurgitation, vegetations in both leaflets of mitral valve and severe mitral regurgitation, subvalvular pulmonary stenosis and huge pericardial effusion. The patient underwent successful mitral valve replacement and he was discharged in good condition. *Correspondence to: Nilda Espinola-Zavaleta, MD, National Institute of Cardiology Ignacio Chavez, Juan Badiano No 1, Colonia Sección XVI, Tlalpan, P.C. 14080, Mexico City, Mexico, E-mail: niesza2001@hotmail.com

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成人复杂先天性心脏病的细粒性心内膜炎

我们报告一位23岁患有复杂冠心病的男性，因中度用力呼吸困难和发烧而来到我们的机构。诊断为二尖瓣心内膜炎，分离出粘连肉芽菌。他接受了抗生素治疗，并因拒绝手术而出院。2019年8月复诊，腹部周长进行性增加，下肢水肿，胸痛。心脏检查发现心包摩擦和III/VI型根尖全收缩期杂音。经胸超声心动图示:静位、房室不协调、右心室双出口伴大动脉转位、室间隔缺损、中度三尖瓣反流、二尖瓣双叶赘生物及重度二尖瓣反流、瓣下肺动脉狭窄及大量心包积液。患者接受了成功的二尖瓣置换术，出院时情况良好。*通信:Nilda Espinola-Zavaleta，医学博士，国家心脏病研究所Ignacio Chavez, Juan Badiano No 1, Colonia Sección XVI, Tlalpan, P.C. 14080，墨西哥墨西哥城，E-mail: niesza2001@hotmail.com

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Clinical research and trials

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