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Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect
Infective endocarditis is usually diagnosed using modified Duke's criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771888/ https://www.ncbi.nlm.nih.gov/pubmed/26989519 http://dx.doi.org/10.1155/2016/3793968 |
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author | Daruwalla, Vistasp Jimmy Sagi, Jahnavi Tahir, Hassan Penumetsa, Srikanth |
author_facet | Daruwalla, Vistasp Jimmy Sagi, Jahnavi Tahir, Hassan Penumetsa, Srikanth |
author_sort | Daruwalla, Vistasp Jimmy |
collection | PubMed |
description | Infective endocarditis is usually diagnosed using modified Duke's criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and surgical techniques, morbidity and mortality with staphylococcal infective endocarditis remain high. Hence, we stress the significance of having a low threshold for TEE in patients with multisystem involvement due to Staphylococcus aureus that have evidence of persistent infection despite antibiotic treatment, even if the suspicion for endocarditis is low based on Duke's criteria. TEE substantially improves the sensitivity of diagnosis but may not be readily available in many medical centers. Presence of an ASD has been noted to have increased the risk of left sided endocarditis even with conditions that predispose to right sided endocarditis, particularly in patients with hemodialysis and diabetes as morbid risk factors. |
format | Online Article Text |
id | pubmed-4771888 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-47718882016-03-17 Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect Daruwalla, Vistasp Jimmy Sagi, Jahnavi Tahir, Hassan Penumetsa, Srikanth Case Rep Cardiol Case Report Infective endocarditis is usually diagnosed using modified Duke's criteria. Our patient had a subacute presentation and a low suspicion for endocarditis during admission, unfortunately leading to her death. Despite advances in diagnostic and therapeutic measures including antibiotic therapy and surgical techniques, morbidity and mortality with staphylococcal infective endocarditis remain high. Hence, we stress the significance of having a low threshold for TEE in patients with multisystem involvement due to Staphylococcus aureus that have evidence of persistent infection despite antibiotic treatment, even if the suspicion for endocarditis is low based on Duke's criteria. TEE substantially improves the sensitivity of diagnosis but may not be readily available in many medical centers. Presence of an ASD has been noted to have increased the risk of left sided endocarditis even with conditions that predispose to right sided endocarditis, particularly in patients with hemodialysis and diabetes as morbid risk factors. Hindawi Publishing Corporation 2016 2016-02-16 /pmc/articles/PMC4771888/ /pubmed/26989519 http://dx.doi.org/10.1155/2016/3793968 Text en Copyright © 2016 Vistasp Jimmy Daruwalla et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Daruwalla, Vistasp Jimmy Sagi, Jahnavi Tahir, Hassan Penumetsa, Srikanth Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title |
Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title_full |
Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title_fullStr |
Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title_full_unstemmed |
Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title_short |
Staphylococcus aureus Endocarditis with Multivalvular Involvement Secondary to an Atrial Septal Defect |
title_sort | staphylococcus aureus endocarditis with multivalvular involvement secondary to an atrial septal defect |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771888/ https://www.ncbi.nlm.nih.gov/pubmed/26989519 http://dx.doi.org/10.1155/2016/3793968 |
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