Endocarditis by enterococci durans

A rare cause. Case report

Authors

  • Lucy Milena Ávila Hernández Universidad Libre
  • Juan Guillermo Salcedo Avilez Universidad Libre

Keywords:

Endocarditis, Enterococcus, Infection

Abstract

The infectious endocarditis is a disease that occurs in several clinical forms because of cardiac structural commitment established, involved microorganism and inherent situations to each patient. Among the most common causative agents are staphylococci group, followed by streptotococci and enterococci; in this last one, group the Enterococcus durans, is the lowest incidence. The case of a 54-year-old with a clinical picture characterized by worsening of chronic heart failure, who during hospitalization was handled as such, is presented; eight days later, due to the limited clinical improvement, the onset of fever quantified at 39°C, an echocardiogram revealed vegetations on mitral values and a positive blood culture for Enterococcus durans, the patient required antibiotic therapy and subsequent surgical management for valve replacement a biological mitral valve, with resolution of symptoms.

Downloads

Download data is not yet available.

References

Mylonakis E, Calderwood SB. Infective En- docarditis in Adults. N Engl J Med. 2001; 345:1318-30.

Maki DG, Agger WA. Bacteriemia por ente- rococo: características clínicas, el riesgo de endocarditis y la gestión. Medicina. 1988; 67:248-69.

Watanakunakorn C, Patel R. Comparación de los pacientes con bacteriemia por ente- rococo debido a cepas con y sin resistencia de alto nivel a la gentamicina. Clin Infect Dis. 1993; 17:74-8.

Olaison L & Schadewitz K. Enterococcal en- docarditis in Sweden, 1995-1999: can shor- ter therapy with aminoglycosides be used? Clin Infects Dis. 2002; 34:159-66.

Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Bolger AF, Levison ME, et al. Infective endocarditis: diagnosis, antimicrobial thera- py, and management of complications: a sta- tement for healthcare ... Circulation. 2005; 111:e394-e434.

McDonald JR, Olaison L, Anderson DJ, Hoen B, Miro JM, Eykyn S. Enterococcal endocardi- tis: 107 cases from the international collabo- ration on endocarditis merged database. The American Journal of Medicine. 2005; 7.

Vijayakrishnan R1, Rapose A. Fatal Entero- coccus durans aortic valve endocarditis: a case report and review of the literature. BMJ Case Rep. 2012; 8.

Montoya E, Amador M. Endocarditis bacte- riana, Guías para manejo de Urgencias, ca- pítulo 1; 1057-1069. Disponible en: http:// www.aibarra.org/Apuntes/criticos/Guias/In- fecciosos/Endocarditis_bacteriana.pdf. Con- sultado: Jul 8 2013.

Prakash VP, Rao SR, and Parija SC. Emergen- ce of unusual species of enterococci causing infections, South India. BMC Infect Dis. 2005; 5:14.

Hoen B, Duval X. Infective endocarditis. N. Engl J Med. 2013; 368:15-20.

Murray BE. Vancomycin-resistant entero- coccal infections. Drug therapy. The New England Journal of Medicine. 2000; 342:10-4.

Li JS, Sexton DJ, Mick N, Nettles R, Fowler VG Jr, Ryan T, Bashore T, Corey Gr. Proposed Mo- difications to the Duke criteria for the diag- nosis of infective endocarditis. Clin Infect Dis. 2000; 30:633-8.

Stepanovic S, Jovanovic M, Lavadinovic L, Stosovic B & Pelemis M. Case Report, entero- coccus durans endocarditis in a patient with transposition of the great vessels. Journal of Medical Microbiology. 2004; 53:259-61.

Pallás BL A, Rodríguez O, Bayarri VM. Endo- carditis infecciosa: el papel de la cirugía. Me- dicina Clínica, 2011; 136(2).

Downloads

Published

2013-12-01

Issue

Section

CASE REPORTS