| Prosthesis endocarditis: treatment of a case occurring five years after a Rastelli-Ross operation. | |
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MedLine Citation:
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PMID: 132578 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A severe staphylococcal septicemia originating from an unknown focus occurred in a 17-year-old patient who had undergone a Rastelli-Ross operation 5 years earlier. The clinical course was complicated by extensive bilateral pneumonia, diffuse intravascular coagulation, and glomerulonephritis. After 4 weeks of intensive conservative treatment, including a daily regimen of 16 Gm. of cloxacillin, the patient was operated upon for a rapidly progressive false aneurysm, which had resulted from dehiscence of the anastomosis between the prosthesis and ventricle. The excised prosthesis proved to be sterile. The postoperative course was uneventful. Cloxacillin treatment was continued for 6 months, initially parenterally and later orally. After discontinuation of therapy, no signs of infection have occurred. Right-sided intracardiac or intravascular prosthetic material may be particularly susceptible to infections originating from the body surface. |
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Authors:
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J Thompson; T Dirksen; M Nubé; A G Brom |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of thoracic and cardiovascular surgery Volume: 72 ISSN: 0022-5223 ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 1976 Jul |
Date Detail:
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Created Date: 1976-09-01 Completed Date: 1976-09-01 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 28-32 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aneurysm, Infected
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surgery Blood Vessel Prosthesis / adverse effects* Child Cloxacillin / therapeutic use Endocarditis, Bacterial / complications, drug therapy*, radiography Heart Aneurysm / surgery Humans Male Penicillin Resistance Pneumonia, Staphylococcal / radiography Polyethylene Terephthalates / adverse effects Sepsis / drug therapy Staphylococcal Infections / complications, drug therapy*, radiography Tetralogy of Fallot / surgery* |
| Chemical | |
Reg. No./Substance:
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0/Polyethylene Terephthalates; 61-72-3/Cloxacillin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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