Infective endarteritis in a case of supravalvular aortic stenosis.

主动脉瓣上狭窄的感染性动脉内膜炎。

• 发表时间: Jan 2015
• 来源期刊: J Cardiol Cases
• DOI: 10.1016/j.jccase.2014.09.003
• PMID: 30546528
• 文章类型: Case Reports
• 作者列表: Bera D,Majumder B,Bhandari M,Venkatraman D,Das R,Mandal PC,Halder P

关键词: Enterococci; Infective endarteritis; Supravalvular aortic stenosis

Abstract

Supravalvular aortic stenosis is the rarest form of congenital left ventricular outflow tract obstruction. It can be associated with Williams syndrome or it may be an isolated anomaly. Although infective endocarditis is common in valvular aortic stenosis, in supravalvular aortic stenosis infective endocarditis/endarteritis is rarely reported. We report a case of infective endarteritis in a case of supravalvular aortic stenosis due to resistant enterococci, causing prolonged fever. Blood culture-directed antibiotic therapy cured the infection. .

摘要

主动脉瓣上狭窄是先天性左心室流出道梗阻的最罕见形式。它可能与威廉姆斯综合征有关，也可能是孤立的异常。虽然感染性心内膜炎常见于主动脉瓣狭窄,在主动脉瓣上狭窄的感染性心内膜炎/动脉内膜炎很少报道。我们报告了一例由于耐药肠球菌引起的主动脉瓣上狭窄的感染性动脉内膜炎，导致长时间发烧。血培养指导的抗生素治疗治愈了感染。学习目标：主动脉瓣上狭窄的感染性动脉内膜炎是一个很少报道但可治疗的实体。虽然它可能对经验性抗生素有反应，偶尔会有一些抗性生物，引起感染性动脉内膜炎,可能对经验疗法没有反应。采用以培养为导向的抗生素给药的多次血培养可能会挽救生命，就像我们的索引案例一样。>.