Severe, rapidly evolving infective endocarditis as a complication of elective surgery: a case report
Severe, rapidly evolving infective endocarditis as a complication of elective surgery: a case report
Data
2024
Autores
Mamani, Roxana F.
Martins, Ezequias B.
Mendonça, Paulo A.D.
Azevedo, Rivelino T.
Fraca, Diego A.
Diaz, Julian C.A.
Konig, Nathalia F.
Fernandes, Victor C.M.
Lamas, Cristiane C.
Journal Title
Journal ISSN
Volume Title
Publisher
Heart, Vessels and Transplantation
Resumo
Worldwide, virulent staphylococci represent one of the
main causative agents of infective endocarditis (IE), and
fighting this infection represents one of the main
challenges in public health services (1).The diagnosis of
IE is based on major criteria patterns (bacteremia and
images showing endocardial changes) and minor criteria
(2). Staphylococcus aureus bacteremia and specially
endocarditis is associated with a high mortality (3). The
diagnosis of IE entails prolonged administration of
antibiotics and rapid assessment for the need for heart
valve surgery (4).
If Staphylococcus aureus bacteremia is confirmed, the
risk of IE is variable and dependent on factors related to
both bacteremia and the patient (5). The main risk
factors related to the patient are: previous heart
disease, illicit intravenous drug use, heart valve surgery
and use of cardiac implanted electronic devices (6-8).
The main factors related to bacteremia refer to the
bacterial load, expressed as blood culture shorter times
to positivity and persistent bacteremia (9).
Description
Palavras-chave
Infective endocarditis, Staphylococcus aureus, Complications, Elective surgery, Case report.
Citação
Mamani RF, Martins EB, Mendonca PAD, Azevedo RT, Fraca DA, Diaz JCA, et al. Severe, rapidly evolving infective endocarditis as a complication of elective surgery: a case report. Heart Vessels Transplant 2024; 8: doi: 10.24969/hvt.2024.521.