title: [From starving to life-threatening nutrition--the history of an intestinal pseudoobstruction].
abstract: It is the story of a 70-year-old lady, who suffered from chronic intestinal pseudoobstruction since her adolescence. In the early 90ies progressive cachexia developed. In 1994 parenteral nutrition was begun via a port-à-cath-system with good success in the first years. Later, various complications occurred: thrombotic events, several catheter-related infections with various bacterial strains, an endocarditis of the aortic valve, which was replaced by a bioprosthesis, and finally a relapsing endocarditis of this artificial valve with a life-threatening paravalvular abscess and regurgitation. She also survived this second heart surgery and is currently under parenteral nutrition again, with a more than uncertain future.
authors.affiliation: Departement Innere Medizin, Kantonsspital Graubünden, Chur. walter.reinhart@ksgr.ch
authors.forename: W H
authors.initials: WH
authors.lastname: Reinhart
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000209:etiology; D016470:Bacteremia / Q000209:etiology; D002100:Cachexia / Q000209:etiology* / Q000628:therapy; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002908:Chronic Disease; D018450:Disease Progression; D004697:Endocarditis, Bacterial / Q000209:etiology; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000628:therapy*; D016562:Parenteral Nutrition, Home Total / Q000009:adverse effects*; D010289:Parenteral Nutrition, Total / Q000009:adverse effects*; D011475:Prosthesis Failure; D012086:Reoperation; D013203:Staphylococcal Infections; D019851:Thrombophilia / Q000209:etiology