[Staphylococcal sepsis due to ventricular septal defect patch infection 14 years after its closure].
We report the case of a 17 year-old girl who developed sepsis due to Methicillin-Resistant Staphyloccocus Epidermidis (MRSE) infection of Dacron patch 14 years after ventricular septal defect (VSD) closure and 4 years after pacemaker implantation. Although MRSE grew in many cultures taken and proper antibiotic regimen was administered, no improvement in patient's clinical status was observed. Disseminated intravascular coagulation and multi-organ failure developed. An operation, at which perforated Dacron VSD-patch was replaced with a new Gore-Tex one, was performed by cardiac surgery team. The patient's clinical status improved immediately after the procedure. The girl remained well 12 months after discharge.
Maj
Magdalena
M
Wojtalik
Michał
M
Mroziński
Bartłomiej
B
Bartkowska-Sniatkowska
Alicja
A
Bartkowski
Rafał
R
D000293:Adolescent; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis / Q000009:adverse effects / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000382:microbiology / Q000601:surgery*; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus; D011138:Polytetrafluoroethylene / Q000627:therapeutic use; D013203:Staphylococcal Infections / Q000382:microbiology* / Q000601:surgery; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene