| Progressive Staphylococcus lugdunensis endocarditis despite antibiotic treatment. | |
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MedLine Citation:
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PMID: 15008319 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 68-year old man with fever chills and a diastolic murmur was diagnosed with aortic-valve endocarditis caused by coagulase-negative Staphylococcus lugdunensis. The clinical condition initially improved with antibiotic therapy. On day seven, transoesophageal echocardiography revealed large abscesses extending from the aortic root to the left ventricular wall. Emergency cardiac surgery was performed successfully and a stentless bioprosthetic valve was inserted. S. lugdunensis endocarditis is known for its aggressive clinical course with valve destruction, abscess formation and embolic complications despite appropriate antibiotics. Antibiotic treatment alone is associated with a high mortality rate which can be reduced by early valve replacement. |
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Authors:
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Michael Petzsch; Werner Leber; Bernd Westphal; Sabine Crusius; Emil C Reisinger |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Wiener klinische Wochenschrift Volume: 116 ISSN: 0043-5325 ISO Abbreviation: Wien. Klin. Wochenschr. Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-03-10 Completed Date: 2004-07-07 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 21620870R Medline TA: Wien Klin Wochenschr Country: Austria |
Other Details:
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Languages: eng Pagination: 98-101 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Medicine, University of Rostock, Rostock, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
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diagnosis,
drug therapy*,
surgery Aged Aorta, Thoracic / surgery Aortic Valve* / surgery Cefuroxime / therapeutic use* Disease Progression Dose-Response Relationship, Drug Drug Administration Schedule Drug Therapy, Combination / therapeutic use* Echocardiography Echocardiography, Transesophageal Endocarditis, Bacterial / diagnosis, drug therapy*, surgery Humans Male Microbial Sensitivity Tests Pericardial Effusion / diagnosis, surgery Rifampin / therapeutic use* Staphylococcal Infections / diagnosis, drug therapy* Staphylococcus / drug effects Vancomycin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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13292-46-1/Rifampin; 1404-90-6/Vancomycin; 55268-75-2/Cefuroxime |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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