A case of pseudomonas endocarditis that required surgical intervention despite antibiotic treatment
COCUK ENFEKSIYON DERGISI, cilt.8, sa.4, ss.196-199, 2015 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 8 Sayı: 4
- Basım Tarihi: 2015
- Doi Numarası: 10.5152/ced.2013.1496
- Dergi Adı: COCUK ENFEKSIYON DERGISI
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.196-199
- Eskişehir Osmangazi Üniversitesi Adresli: Evet
Özet
Pseudomonas aeruginosa, endocarditis, congenital heart defect,Although infective endocarditis caused by Gram-negative microorganisms is rarely seen, it may lead to morbidity and mortality. Infective endocarditis caused by Pseudomonas strains is very rarely observed. A 3-year-old female patient with inlet-type ventricular septal defect and pulmonary stenosis was hospitalized upon a provisional diagnosis of infective endocarditis with findings of fever, tachypnea, tachycardia, and hepatomegaly, which developed 2 days after patch closure of the ventricular septal defect. A surgical operation was scheduled, because the patient manifested heart failure with growth of Pseudomonas aeruginosa in blood culture, and the infection could not be controlled for more than 3 months despite the appropriate combination of antibiotics. During the operation, the infected ventricular septal defect patch was removed, the tricuspid valve was repaired, and a vegetation was removed from the pulmonary valve. Although right-side cardiac valve-based endocarditis caused by P. aeruginosa can be treated with appropriate antibiotic therapy, early surgical treatment is thought to increase treatment success in patients with persistent bacteremia. cardiac surgery