[Mitral valve plasty for infective endocarditis associated with vertebral osteomyelitis].
Infective endocarditis (IE) associated with vertebral osteomyelitis (VO) is relatively rare, but needs long and careful therapy. We report a case of the patient who was incidentally diagnosed as having IE during therapy for VO. A 77-year-old man was hospitalized with a complaint of high fever and back pain. Because magnetic resonance imaging demonstrated osteomyelitis, antibiotic therapy was started. Persistent infectious signs and congestive heart failure indicated the diagnosis of infective endocarditis. Echocardiogram demonstrated sever mitral regurgitation due to perforation of anterior mitral leaflet but no vegetation. Surgery revealed perforation of the valvular aneurysm of the anterior mitral leaflet, which was successfully repaired with deberidement and patch closure. Antibiotic therapy was continued for 4 months postoperatively. In the case of VO, it is often necessary to consider an association of IE, although it is hardly possible to determine which the preceding infection is.
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan.
Satoshi
S
Tanaka
A
A
Ohkado
A
A
Yamada
K
K
Inoue
N
N
Wakita
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D004696:Endocarditis / Q000150:complications* / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D010019:Osteomyelitis / Q000150:complications* / Q000188:drug therapy; D013122:Spinal Diseases / Q000150:complications* / Q000188:drug therapy; D013492:Suppuration
D000900:Anti-Bacterial Agents