[Does yoghurt gnaw at cardiac valves?].
A 22-year-old man with pre-existing aortic valve disease contracted acute lactobacillus endocarditis six weeks after a dental procedure despite adequate prophylaxis. We discuss the limitations of prophylaxis for infective endocarditis in use until the end of 2008 and describe the new updated guidelines. We also explain the treatment of lactobacillus endocarditis and speculate on possible health risks of the increasing use of lactobacillus-containing dairy products, especially in immune-compromised patients.
Universitätsklinik für Kardiologie, Inselspital Bern.
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Zimmerli
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Goerre
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Carrel
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Suter
D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000151:congenital* / Q000601:surgery; D016470:Bacteremia / Q000209:etiology* / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology; D016908:Gram-Positive Bacterial Infections / Q000209:etiology*; D006801:Humans; D007778:Lactobacillus; D008297:Male; D011183:Postoperative Complications / Q000209:etiology* / Q000382:microbiology; D012307:Risk Factors; D014081:Tooth Extraction; D015014:Yogurt / Q000009:adverse effects* / Q000382:microbiology*; D055815:Young Adult