Aortic valve abscess – a clinical case
Keywords:
endocarditis, abscess, aortic valve, Streptoccocus mitisAbstract
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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