Successful conservative treatment of nontyphoid salmonella endocarditis involving a bioprosthetic valve.
We report a first case of Salmonella enteritidis endocarditis involving a bioprosthetic aortic valve. Despite additional native tricuspid valve involvement, the clinical course was favorable using an antibiotic regimen of ciprofloxacin and netilmicin. Although Salmonella prosthetic valve endocarditis is considered an indication for surgical replacement of the prosthesis, this case indicates that prolonged treatment with fluoroquinolones may be an alternative provided that the hemodynamic situation is stable.
Goerre
S
S
Cardiology Policlinic, University Hospital, Bern, Switzerland.
Malinverni
R
R
Aeschbacher
B C
BC
D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use*; D002939:Ciprofloxacin / Q000627:therapeutic use*; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology; D012480:Salmonella Infections / Q000000981:diagnostic imaging / Q000188:drug therapy*; D012477:Salmonella enteritidis / Q000302:isolation & purification
D000890:Anti-Infective Agents; D002939:Ciprofloxacin