Complete Heart Block Associated With Tricuspid Valve Endocarditis Due to Extended Spectrum β-Lactamase-Producing Escherichia coli

被引：9

作者：

Fordyce, Christopher B. ^{[1
]}

Leather, Richard A. ^{[2
]}

Partlow, Eric ^{[3
]}

Swiggum, Elizabeth A. ^{[2
]}

机构：

[1] Univ British Columbia, Dept Med, Vancouver, BC V5Z 1M9, Canada

[2] Royal Jubilee Hosp, Div Cardiol, Victoria, BC, Canada

[3] Royal Jubilee Hosp, Div Infect Dis, Victoria, BC, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2011年 / 27卷 / 02期

关键词：

D O I：

10.1016/j.cjca.2010.12.011

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of complete heart block associated with tricuspid endocarditis due to extended-spectrum beta-lactamase-producing Escherichia coli (ESBL E. coli) following a transrectal prostate biopsy. This is the first report of complete heart block associated with tricuspid native valve endocarditis. In addition, this is also the first reported case of ESBL E. coli causing endocarditis of any kind. Prompt antibiotic therapy resulted in a downgrading of the high-grade conduction block and eventual cure of an associated complication, vertebral osteomyelitis, and discitis. The anatomy and microbiology of endocarditis in the context of heart block are presented and discussed.

引用

页码：263.e17 / 263.e20

页数：4

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