| Prosthetic valve endocarditis caused by Legionella pneumophila. | |
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MedLine Citation:
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PMID: 6703545 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Prosthetic valve endocarditis due to Legionella pneumophila occurred in a woman who had aortic and mitral valve replacements with porcine xenografts. During surgery for persistent fever and aortic regurgitation due to presumed endocarditis, she had vegetations involving both the aortic and mitral valve prostheses with a circumferential abscess of the aortic annulus. Cultures, Dieterle stain, and direct fluorescent antibody stain of valve tissue, and subsequent measurements of serum antibody levels confirmed L. pneumophila as the infecting organism. This infection occurred in the absence of pneumonia. Legionella pneumophila must be considered a potential cause of culture-negative prosthetic valve endocarditis and should be sought in appropriate clinical circumstances. |
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Authors:
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R E McCabe; J C Baldwin; C A McGregor; D C Miller; K L Vosti |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Annals of internal medicine Volume: 100 ISSN: 0003-4819 ISO Abbreviation: Ann. Intern. Med. Publication Date: 1984 Apr |
Date Detail:
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Created Date: 1984-04-12 Completed Date: 1984-04-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 525-7 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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Aortic Valve Bacterial Infections / drug therapy* Bioprosthesis Drug Therapy, Combination Endocarditis, Bacterial / microbiology* Erythromycin / therapeutic use Female Heart Valve Prosthesis / adverse effects* Humans Legionella Middle Aged Mitral Valve Rifampin / therapeutic use |
| Chemical | |
Reg. No./Substance:
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114-07-8/Erythromycin; 13292-46-1/Rifampin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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