Haemophilus parainfluenzae endocarditis with systemic embolisation following maxillary sinusitis.
The authors present a case of a man with Haemophilus parainfluenzae endocarditis complicated with embolisation to the central nervous system. The patient had no evidence of endocarditis by transoesophageal and transthoracic echocardiograms at baseline, but shortly after developed large mitral valve vegetations with valve rupture. The case highlights how rapidly structural valve damage can ensue despite good clinical and laboratorial antibiotic response.
Serviço de Medicina Interna, Hospital de Santa Maria, Lisbon, Portugal.
Margarida
M
Barreto Cortes
Serviço de Reumatologia e Doenças ósseas metabólicas, Hospital de Santa Maria, Lisbon, Portugal.
Vitor
V
Teixeira
Serviço de Gastrenterologia e Hepatologia, Hospital de Santa Maria, Lisbon, Portugal.
Samuel Raimundo
SR
Fernandes
Serviço de Medicina Interna, Hospital de Santa Maria, Lisbon, Portugal.
Fernanda
F
Rego
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002490:Central Nervous System / Q000098:blood supply; D004617:Embolism / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology*; D006192:Haemophilus Infections / Q000382:microbiology*; D044135:Haemophilus parainfluenzae; D006349:Heart Valve Diseases / Q000382:microbiology; D006801:Humans; D008297:Male; D015523:Maxillary Sinusitis / Q000150:complications* / Q000382:microbiology; D008943:Mitral Valve; D012422:Rupture, Spontaneous / Q000382:microbiology
D000900:Anti-Bacterial Agents