Successful Resolution of Early-Onset Prosthetic Valve Endocarditis Associated With Extended Spectrum β-Lactamases Producing Escherichia coli With Medical Management

被引：0

作者：

Dhamrah, Umaima ^{[1
]}

Johnson, Keely ^{[1
]}

Amin, Aisha ^{[1
]}

Policar, Maurice ^{[1
]}

机构：

[1] Icahn Sch Med Mt Sinai, Elmhurst Hosp Ctr, 79-01 Broadway, Elmhurst, NY 11373 USA

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2020年 / 8卷

关键词：

infective endocarditis; ESBL; E coli; echocardiogram; TTE; TEE; empiric treatment; prosthetic valve; INFECTIVE ENDOCARDITIS; DIAGNOSIS; CRITERIA; ADULTS;

D O I：

10.1177/2324709620965337

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 74-year-old male with a recent bioprosthetic mitral valve placement presented with dyspnea, chills, and palpitations. Blood cultures on admission grew extended spectrum beta-lactamaseEscherichia coli. Transthoracic echocardiogram and transesophageal echocardiography were negative for valvular vegetations, but given the recent history of mitral valve replacement and difficulty visualizing valvular vegetations in prosthetic valve, we initiated treatment of our patient with antibiotics for 6 weeks. Repeat blood cultures showed clearance of the organism and on follow-up, and the patient had no signs of recurrence of infection.

引用

页数：4

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