title: Infective endocarditis related to acute cholecystitis.
abstract: A 30-year-old woman with a homologous dura-mater valve prosthesis developed infective endocarditis related to acute purulent cholecystitis occurring in chronic cholelithiasis. During anti-bacterial treatment refractory heart failure ensued which compelled replacement of the infected prosthesis. She died in the post-operative period. Autopsy revealed endocarditis on the implanted bioprosthesis, purulent cholecystitis and a gallbladder stone. It is warningly concluded that the surgical treatment of endocarditis was unsuccessful because of persistence of purulent cholecystitis that led to reinfection of the inserted prosthesis.
authors.affiliation: Heart Institute, Sao Paulo University Medical School, Brazil.
authors.forename: L A
authors.initials: LA
authors.lastname: Bortolotto
authors.forename: A J
authors.initials: AJ
authors.lastname: Mansur
authors.forename: M
authors.initials: M
authors.lastname: Grinberg
authors.forename: G
authors.initials: G
authors.lastname: Bellotti
authors.forename: F
authors.initials: F
authors.lastname: Pileggi
mesh_terms: D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001705:Bioprosthesis; D002764:Cholecystitis / Q000150:complications*; D002769:Cholelithiasis / Q000150:complications; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000401:mortality; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D012086:Reoperation
chemical_list: D000900:Anti-Bacterial Agents