التفاصيل البيبلوغرافية
| العنوان: |
ENTEROKOKNI ENDOKARDITIS U PRAKSI INFEKTOLOGA - PRIKAZ SLUČAJA. |
| العنوان البديل: |
ENTEROCOCCAL ENDOCARDITIS - A CASE REPORT. |
| المؤلفون: |
Cvjetković, Dejan ivacvj@neobee.net, Aleksić-Dordević, Mirjana, Jovanović, Jovana, Hrnjaković-Cvjetković, Ivana, Stefan-Mikić, Sandra, Sević, Siniša |
| المصدر: |
Medical Review / Medicinski Pregled. 2009, Vol. 62 Issue 11/12, p583-586. 4p. |
| مصطلحات موضوعية: |
*ENTEROCOCCAL infections, *ENDOCARDIUM diseases, *ANTIBACTERIAL agents, *ECHOCARDIOGRAPHY, *ENDOSCOPIC surgery |
| الملخص (بالإنجليزية): |
Introduction Bacteria from genus Enterococcus may cause infections mostly in those who are immunocompromised and those who underwent endoscopic or surgical procedures. Endocarditis is caused by enterococci in 5-10% of cases. Its clinical presentation does not differ from endocarditis of other bacterial origin. Previous susceptibility testing is needed for appropriate choice of antibiotics against enterococci. The treatment recommendations for enterococcal endocarditis were given by American Heart Association recently. Case report A case of enterococcal endocarditis in a young female person hospitalised at Clinic for infectious diseases was reviewed. The disease was diagnosed during an extensive diagnostic procedure. Multiply repeated echocardiographic examination helped to find out bacterial vegetations on the mitral valve. Enterococcus species was isolated from several blood cultures. Despite powerful antibiotic treatment, the additional valvular replacement had to be done. Discussion A case of enerococcal endocarditis in a young female person was reviewed. I he right diagnosis was based on a thorough clinical examination in cooperation with cardiologists using repeated transthoracic and transesophageal echocardiography. Echocardiography, even if it is transesophageal, has limited sensitivity and specifity, so it is sometimes necessary to be repeated for several times in diagnosing endocarditis. The source of endocarditis was not identified. The combined antimicrobial and surgical treatment led to the complete recovery of patient. Conclusion Enterococcal endocarditis rarely occurrs in young females. Infective disease specialists sometimes face enterococcal endocarditis in their practice, mostly when they have to cope with fever of unknown origin. An appropriate approach to such conditions includes careful search for heart valve changes by repeated echocardiographic finding, if necessary. [ABSTRACT FROM AUTHOR] |
| Abstract (Croatian): |
Rod enterokoka obuhvata gram-pozitivne anaerobe koji su deo normalne flore različitih organskih sistema čoveka. Fn-terokoki su uzročnici infekcija najčešće kod imunokompromitovanih i osoba podvrgnutih endoskopskim i hirurškim intervencijama. Izazivači su 5-10% svih endokarditisa. Klinieka slika enterokoknog endokarditisa ne razlikuje se od klinieke slike drugih bakterij-skih endokarditisa. Izbor antibioterapije u lečenju enterokoknog endokarditisa zahteva prethodno ispitivanje osetljivosti izolala na antibiotike zbog rastuće rezistencije enterokoka. Spektar antibiolika efikasnih protiv enterokoka obuhvata ampieilin. vankomiein i aminoglikozide. Infekcije izazvane multirezistentnim E. fecalis leče se kombinaeijom imipenema/cilastatina ili ceftriaksona s ampicilinom. U radu je prikazan slučaj mlade ženske osobe sa subakutnim bakterijskim endokarditisom izazvanim enterokokom koji se manifestovao protrahovanim febrilnim stanjem s višekratno pozitivnom hemokulturoin. Vegetaeije na milralnom zalisku (izvor bak-terijemije) pouzdano su verifikovane tek četvrtim ehokardiografskin pregledom. Kombinacija antibiotske i hirurške terapije dovela je do povoljnog ishoda bolesti. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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