title: [Right-side infective endocarditis: discrepancy between clinical and echocardiographic evolution: case report].
abstract: Infective endocarditis is a relatively rare disease in clinical practice, with significant morbidity and mortality despite the improvements on its diagnosis and treatment. It is often difficult to identify its complications and define strategies for them. Dissociation between the clinical evolution and the findings from complementary tests (especially echocardiographic tests) is common. Clinical decisions become even more difficult when there are atypical manifestations of the disease, such as right-side endocarditis. This report is about a rare case of right-side endocarditis in a patient with chronic renal disease, in which there was a contradiction between worsening of the echocardiographic findings and clinical improvement. This situation may lead to difficulties regarding the criteria for indicating surgery and the safety of conservative clinical treatment.
authors: Serviço de Cardiologia e Cirurgia Cardiovascular, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG. ramosnas@uol.com.br
authors: Bruno Ramos
authors: BR
authors: Nascimento
authors: Thaíssa Oliveira de Almeida A
authors: TO
authors: Coelho
authors: Lucas Rocha da
authors: LR
authors: Costa Filho
authors: Marcelo Martins
authors: MM
authors: Pinto Filho
authors: Vitor Emanuel Serafim
authors: VE
authors: Cota
authors: Renata de Carvalho
authors: Rde C
authors: Bicalho
authors: Antonio Luiz Pinho
authors: AL
authors: Ribeiro
authors: Maria do Carmo Pereira
authors: Mdo C
authors: Nunes
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents