دورية أكاديمية
Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature
| العنوان: | Haemophilus parainfluenzae Mural Endocarditis: Case Report and Review of the Literature |
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| المؤلفون: | Luca T. Giurgea, Tim Lahey |
| المصدر: | Case Reports in Infectious Diseases, Vol 2016 (2016) |
| بيانات النشر: | Hindawi Limited, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Infectious and parasitic diseases |
| مصطلحات موضوعية: | Infectious and parasitic diseases, RC109-216 |
| الوصف: | Haemophilus parainfluenzae, which uncommonly causes endocarditis, has never been documented to cause mural involvement. A 62-year-old immunocompetent female without predisposing risk factors for endocarditis except for poor dentition presented with fever, emesis, and dysmetria. Echocardiography found a mass attached to the left ventricular wall with finger-like projections. Computed tomography showed evidence of embolic phenomena to the brain, kidneys, spleen, and colon. Cardiac MRI revealed involvement of the chordae tendineae of the anterior papillary muscles. Blood cultures grew Haemophilus parainfluenzae. The patient was treated successfully with ceftriaxone with resolution of symptoms, including neurologic deficits. After eleven days of antibiotics a worsening holosystolic murmur was discovered. Worsening mitral regurgitation on echocardiography was only found three weeks later. Nine weeks after presentation, intraoperative evaluation revealed chord rupture but no residual vegetation and mitral repair was performed. Four weeks after surgery, the patient was back to her baseline. This case illustrates the ability of Haemophilus parainfluenzae to form large mural vegetations with high propensity of embolization in otherwise normal cardiac tissue among patients with dental risk factors. It also underscores the importance of physical examination in establishing a diagnosis of endocarditis and monitoring for progression of disease. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-6625 2090-6633 |
| Relation: | https://doaj.org/toc/2090-6625; https://doaj.org/toc/2090-6633 |
| DOI: | 10.1155/2016/3639517 |
| URL الوصول: | https://doaj.org/article/0302032cab6a40faa85b3d75500a47c6 |
| رقم الأكسشن: | edsdoj.0302032cab6a40faa85b3d75500a47c6 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20906625 20906633 |
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| DOI: | 10.1155/2016/3639517 |