title: Successful medical management of prosthetic-valve endocarditis complicated by perivalvular abscess.
abstract: We present a case of a 44-year-old man with prosthetic aortic endocarditis complicated by a perivalvular abscess. He evolved with improvement of the infectious process only under clinical treatment. The patient presented a prior history of rheumatic fever and had previously been undergone three valve replacements due to prosthesis dysfunction and previous endocarditis. In this case report we discuss the main features of perivalvular abscess complicating infective endocarditis.
authors.affiliation: Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Clínica Médica, Av. Prof. Alfredo Balena, 190 - Belo Horizonte, MG, Brazil. mcarmo@waymail.com.br
authors.forename: Maria do Carmo Pereira
authors.initials: Mdo C
authors.lastname: Nunes
authors.forename: Claudio Leo
authors.initials: CL
authors.lastname: Gelape
authors.forename: Felipe Batista Lima
authors.initials: FB
authors.lastname: Barbosa
authors.forename: Luciano Ribeiro
authors.initials: LR
authors.lastname: Leduc
authors.forename: Christiano Gonçalves de
authors.initials: CG
authors.lastname: Araújo
authors.forename: Lucas Fabel
authors.initials: LF
authors.lastname: Chalup
authors.forename: Marcela Ferreira
authors.initials: MF
authors.lastname: Nicoliello
authors.forename: Teresa Cristina Abreu
authors.initials: TC
authors.lastname: Ferrari
mesh_terms: D000038:Abscess / Q000150:complications* / Q000188:drug therapy; D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D004697:Endocarditis, Bacterial / Q000188:drug therapy* / Q000209:etiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D016459:Prosthesis-Related Infections / Q000150:complications*