title: [Left-sided infective endocarditis caused by Pseudomonas aeruginosa treated medically].
abstract: Infective endocarditis due to Pseudomonas aeruginosa is a rare clinical condition, difficult to diagnose and associated with high mortality. Herein we present a case of a 51 years old male without history of intravenous drug use or valvular disease, with past medical history of cholecystectomy in the previous month, who presented to the emergency department with fever, gastrointestinal symptoms, and subsequent signs of distant embolization, positive blood cultures for P. aeruginosa and development of multiple complications of the disease. The clinical presentation of infective endocarditis is nonspecific, leading to delayed diagnosis, and preventing early and effective treatment. Valvular replacement is indicated in fungal or P. aeruginosa endocarditis. This case is notable because of the resolution with amikacin combined with meropenem, in a patient with several complications that contraindicated surgery.
authors.affiliation: Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, DC, Colombia. karenmelissao@gmail.com
authors.forename: Karen Melissa
authors.initials: KM
authors.lastname: Ordóñez
authors.forename: Odismar Andrea
authors.initials: OA
authors.lastname: Hernández
authors.forename: Jorge Alberto
authors.initials: JA
authors.lastname: Cortés
authors.forename: María José
authors.initials: MJ
authors.lastname: López
authors.forename: Gladys
authors.initials: G
authors.lastname: Alfonso
authors.forename: Alejandro
authors.initials: A
authors.lastname: Junca
mesh_terms: D004697:Endocarditis, Bacterial / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011552:Pseudomonas Infections; D011550:Pseudomonas aeruginosa