Community-acquired Staphylococcus epidermidis endocarditis complicated by splenic disease 9 years after aortic valve replacement.
We describe here a case of Staphylococcus epidermidis prosthetic aortic valve endocarditis 9 y after valve replacement. Surprisingly, the microorganism was community-acquired, highly virulent and associated with splenic disease. The patient recovered following emergency valve replacement and prolonged antibiotic therapy. Splenectomy was not required.
Melzer
M
M
Department of Microbiology, Guy's Hospital, London, UK.
Maiden
H
H
Gransden
W
W
Edgeworth
J
J
Chan
Y
Y
Kinirons
M
M
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D017714:Community-Acquired Infections / Q000150:complications*; D004697:Endocarditis, Bacterial / Q000150:complications*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D013158:Splenic Diseases / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications*; D013212:Staphylococcus epidermidis