[Infectious endocarditis following orthotopic heart transplantation].
Infection remains a major problem in the early phase after heart transplantation. Immunosuppressive therapy is the most important predisposing factor. It may also reactivate preexisting latent endogenous infections. Unspecific symptoms and a chronic clinical course, as described in this report, may suggest infective endocarditis of the cardiac allograft. From this case, we do not suggest a general antibiotic prophylaxis for heart transplant recipients; however, special precaution should be considered in heart transplant patients with a history of endocarditis.
Spes
C H
CH
Medizinische Klinik Innenstadt, Universität München.
Angermann
C E
CE
Mudra
H
H
Kemkes
B M
BM
Theisen
K
K
D000328:Adult; D001021:Aortic Valve / Q000473:pathology; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D006333:Heart Failure / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis*; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis*; D013298:Streptococcus sanguis
Infektiöse Endokarditis nach orthotoper Herztransplantation.