Aortic valve abscess – a clinical case

Authors

  • Nuno Candeias Interno Complementar de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal
  • Ascención Lopez Interno Complementar de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal
  • Paulo Ramos Assistente Hospitalar de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal
  • Ana Galrinho Assistente Hospitalar de Cardiologia, Hospital Curry Cabral, Lisboa, Portugal
  • João Viegas Assistente Graduado de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal
  • António Ventura §Chefe de Serviço de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal
  • Jacinto Gonçalves Director de Serviço de Medicina Interna, Hospital Curry Cabral, Lisboa, Portugal

Keywords:

endocarditis, abscess, aortic valve, Streptoccocus mitis

Abstract

The authors present a clinical case of infective endocarditis, involving a 10 year-old prosthetic aortic valve, with perivalvular abscess formation, in a 32 year old patient. The clinical
evolution was quite typical, progressing from
an insidious febrile syndrome to an acute left ventricular failure. The isolated agent was a
Streptococcus mitis, which, in presence of multiple gengivo-dental infections (with poor oral
and dental higyene), sugests an oropharingeal primary site of infection.
Based on this case, the authors performed a
literature revision about prosthetic valve endocarditis, with special incidence on aortic valve.
Clinical history, therapeutic options and some
epidemiologic data are also discussed. 

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References

Durack Lukes, Bright et al. New Criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke

endocarditis service. Am J Med 1994;96 : 200-209.

Karchmer. Infective endocarditis. In. Braunwald’s Heart Disease, 5 th ed , vol 2, Philadelfia; WB Saunders 1997: 1077-1104.

Agnihati, Mc Giffin, Gallbraith, O’Brien. The prevalence of infective endocarditis after aortic valve replacement. J Thorac Cardiovasc Surg

;110:1708-1724.

Vleiss, Klakin, Grunkemeier, Li, Sterr. Risk, diagnosis and management of prosthetic valve endocarditis: a review. J Heart Dis 1997; 6:443-

Durack. Prevention of infective endocarditis. N Eng J Med 1995;332:38-44.

de Gevigney, Pop, Delahaye. The risk of infective endocarditis after cardiac surgical and interventional procedures. Eur Heart J 1995;16

(supl B):7-14.

Acar, Michel. Infective endocarditis. In. Crawford, Di Marco. Cardiology, Mosby Int. 2001; 6, 14.1-14.14.

Wilson, Karchmer, Dajani et al. Antibiotic treatment of adults with infective endocarditis due to streptococci, enterococci, staphilococci

and HACEK miroorganisms. JAMA 1995; 274:1706-1713.

Farina, Vitele, Piazza, de Vivo, de Luca, Catrufo. Long term results of surgery for prosthetic valve endocarditis. J Heart Valve Dis 1994;

:165-171.

Lyth, Priest, Taylor et al. Surgical treatment of prosthetic valve endocarditis. J Thorac Cardiovasc Surg 1996; 111: 198-210

Additional Files

Published

2004-12-31

How to Cite

1.
Candeias N, Lopez A, Ramos P, Galrinho A, Viegas J, Ventura A, Gonçalves J. Aortic valve abscess – a clinical case. RPMI [Internet]. 2004 Dec. 31 [cited 2024 May 21];11(4):191-4. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1766

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