Successful treatment of polymicrobial multivalve infective endocarditis. Multivalve infective endocarditis.
A 57-year-old man presented with triple valve infective endocarditis. There were vegetations on the tricuspid, mitral, and aortic valve. He had multiple complications such as pulmonary abscess, severe anaemia, and congestive heart failure. His general condition was extremely poor. Intensive medical therapy, such as blood transfusion, mechanical ventilation, and inotropic support, allowed him to tolerate surgery. Triple valve replacement was successfully performed without major complication. Vegetation cultures grew Streptococcus bovis and Enterecoccus faecalis. At 1 year follow-up, the patient is alive in NYHA functional class I.
Allocca
Giuseppe
G
Cardiology Unit, Department of Cardiopulmonary Sciences, A.O. S Maria della Misericordia, P. le S Maria della Misericordia 15, 33100 Udine, Italy. alloccag75@libero.it
Slavich
Gianaugusto
G
Nucifora
Gaetano
G
Slavich
Massimo
M
Frassani
Romeo
R
Crapis
Massimo
M
Badano
Luigi
L
D000740:Anemia / Q000382:microbiology / Q000601:surgery; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D001803:Blood Transfusion; D002316:Cardiotonic Agents / Q000627:therapeutic use; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D013293:Enterococcus faecalis / Q000302:isolation & purification; D006333:Heart Failure / Q000382:microbiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008169:Lung Abscess / Q000382:microbiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D012121:Respiration, Artificial; D012720:Severity of Illness Index; D016985:Streptococcus bovis / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000382:microbiology / Q000473:pathology / Q000601:surgery*
D000890:Anti-Infective Agents; D002316:Cardiotonic Agents