[Endocarditis due to staphylococcus aureus during cardiomyopathy].
In a patient suffering from obstructive cardiomyopathy (IHSS), the onset of septicaemia due to staphylococus aureus was accompanied: 1. by the appearance of massive mitral incompetence and of cardiac failure; 2. by a marked reduction in the left intra-ventricular pressure gradient; 3. by acute reversible renal failure (interstitial nephritis); 4. by a glomerulonephritis with immune complexes deposits. After the septicaemia had been treated, replacement of the mitral valve by a disc prosthesis of Lillehei was carried out. Twenty months after the operation, the patient was completely asymptomatic, and catheterisation showed that the left intra-venticular pressure gradient had disappeared, as had the haemodynamic signs of cardiac failure.
D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D004697:Endocarditis, Bacterial / Q000150:complications*; D005921:Glomerulonephritis / Q000209:etiology; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000209:etiology; D013203:Staphylococcal Infections / Q000150:complications*
Endocardite à staphylocoque doré au dours d'une cardiomyopathie obstructive.