title: [Infectious endocarditis in a patient with multiple sclerosis--case report].
abstract: Multiple sclerosis is chronic demyelination disease associated with complex immunological disorders, resulting in increased susceptibility to different infections. A case of woman, aged 40 with multiple sclerosis who was admitted to the Internal Medicine Ward because of severe general state, fever of seven-day duration and systolic murmur in apex area is discussed in this paper. Clinical status and performed diagnostics, among others; echocardiography, blood cultures, abdominal ultrasonography, allowed to diagnose infective endocarditis caused by Enterococcus faecalis. Antibiotics as follows: augmentin, cefuroxim, cefotaxim and vancomycin were administered parenterally. As a result of the treatment normalization of temperature and complete recovery were obtained.
authors.affiliation: Katedry i Kliniki Chorób Wewnetrznych Akademii Medycznej w Lublinie. zawada@eskulap.am.lublin.pl
authors.forename: Andrzej
authors.initials: A
authors.lastname: Prystupa
authors.forename: Jerzy
authors.initials: J
authors.lastname: Mosiewicz
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology*; D006801:Humans; D009103:Multiple Sclerosis / Q000150:complications*
chemical_list: D000890:Anti-Infective Agents