[Highly aggressive early prosthetic endocarditis by S. epidermidis].
Prosthetic valve endocarditis is considered to be 15% of all infectious endocarditis in developed countries, more frequently during the first 45 days after surgery. Between 45 and 60% of patients with prosthetic valve endocarditis present periannular involve. The aortic valve injury and early symptoms onset after surgery are related with a higher power of aggressive prosthetic endocarditis invasion. We present the case of a patient affected with early aortic prosthetic valve endocarditis by S. epidermidis with a high aggressive and proliferating course, accompanied by fistula to left atrial, severe aortic regurgitation and left atrial roof rupture detected at the time of surgery, along with interventricular membranous septal defect.
Ortega
José R
JR
Hospital de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain. jortega@correo.hpino.rcanaria.es
García
Antonio
A
Medina
Alfonso
A
Campoamor
Cristina
C
D004697:Endocarditis, Bacterial / Q000382:microbiology*; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000382:microbiology*; D012720:Severity of Illness Index; D013203:Staphylococcal Infections; D013212:Staphylococcus epidermidis