scholarly journals Staphylococcus aureus mitral valve endocarditis due to heel decubitus ulcer

2012 ◽  
Vol 2012 (may30 1) ◽  
pp. bcr0220125852-bcr0220125852
Author(s):  
C. M. Steger
Keyword(s):  
Staphylococcus Aureus ◽  
Mitral Valve ◽  
Decubitus Ulcer

Endocarditis

2020 ◽  
pp. 283-296
Author(s):  
Ruth Boylan ◽  
Ian Conrick-Martin
Keyword(s):  
Staphylococcus Aureus ◽  
Critical Care ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Critically Ill Patients ◽  
Surgical Complications ◽  
Signs And Symptoms ◽  
High Propensity ◽  
Low Threshold ◽  
Catheter Related Bloodstream Infection

In this chapter we describe the case of a patient presenting with signs and symptoms of infective endocarditis following a recent mitral valve replacement. We describe the epidemiology of infective endocarditis and discuss its features including echocardiographic features. We discuss diagnosis, treatment (both medical and surgical), complications and prognosis with a focus and emphasis on the ICU patient. The clinical presentation of IE in the ICU setting may be atypical and classic features may be masked by critical care interventions and concomitant pathology. Echocardiography can be particularly challenging in the ICU setting. There should be a low threshold for TEE in critically ill patients with Staphylococcus aureus catheter-related bloodstream infection because of its high propensity to cause IE.

scholarly journals Daptomycin Failure for Treatment of Pulmonary Septic Emboli in Native Tricuspid and Mitral Valve Methicillin-ResistantStaphylococcus aureusEndocarditis

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Hadeel Zainah ◽  
Marcus Zervos ◽  
Wassim Stephane ◽  
Sara Chamas Alhelo ◽  
Ghattas Alkhoury ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Mitral Valve ◽  
Treatment Failure ◽  
Native Valve ◽  
Methicillin Resistant ◽  
Septic Emboli ◽  
Native Valve Endocarditis ◽  
Pulmonary Infiltrates ◽  
Sole Agent

Daptomycin has been used with success for the treatment of right-sided methicillin-resistantStaphylococcus aureus(MRSA) endocarditis. However, its efficacy has not been completely assessed for the treatment of MRSA endocarditis when it is associated with pulmonary septic emboli. Hereby, we present a case of MRSA mitral and tricuspid native valve endocarditis with pulmonary septic emboli, which was treated with daptomycin as a sole agent, resulting in worsening pulmonary infiltrates and treatment failure.

scholarly journals Mitral valve endocarditis caused by Staphylococcus aureus

2019 ◽  
Vol 191 (41) ◽  
pp. E1137-E1137
Author(s):  
Ashok Kumar Pannu ◽  
S. Prethiviraj ◽  
Archana Angrup
Keyword(s):  
Staphylococcus Aureus ◽  
Mitral Valve

scholarly journals P627 Step by step valve destruction in infective endocarditis with no apparent vegetations

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Skafar ◽  
A Ovsenik ◽  
J Toplisek ◽  
B Berlot ◽  
M Bervar
Keyword(s):  
Heart Failure ◽  
Staphylococcus Aureus ◽  
Congestive Heart Failure ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Antibiotic Therapy ◽  
Systolic Dysfunction ◽  
Illustrative Case ◽  
Posterior Leaflet

Abstract Background Infective endocarditis can present without evident vegetation, diagnosis is challenging and prognosis very poor. We present an illustrative case where natural evolution of the mitral valve destruction with no evident vegetations was followed with frequent consecutive transthoracic (TTE) and transesophageal echocardiography (TOE). Case presentation 71-year old male with known dilated cardiomyopathy presented with dyspnoea, ankle swelling and severe kidney failure with hyperkalemia. During short hospitalization he was recompensated with haemodialysis, parenteral diuretics and inotropes. TTE showed dilated left ventricle with severe systolic dysfunction and no evidence of valvular disease. Few days after discharge he was readmitted with malaise and febrile state with no obvious site of infection. Blood cultures were positive for Staphylococcus aureus and antibiotic therapy was initiated immediately. Weekly TTEs and TOEs were performed (Figure 1, column A-D): Week 1: TTE was performed due to congestive heart failure. There was no suspicion on disease and TTE showed no obvious mitral valve pathology. Week 3: Second TTE showed only light thickening of posterior mitral leaflet with mild mitral regurgitation. Week 4: Follow-up TOE was performed showing posterior leaflet discontinuity with small eccentric regurgitation jet and no vegetation. Week 6: Symptoms of congestive heart failure persisted despite antibiotic treatment. A progressive destruction of posterior leaflet with evident perforation of P1 scallop and consequent severe mitral regurgitation. Patient was referred for urgent mitral valve replacement. Conclusions Staphylococcus aureus is a destructive pathogen and can cause severe destruction of native valve even without obvious vegetations. This case presents echocardiographic features of natural course of infective endocarditis on mitral valve. Despite antibiotic therapy progressive valve destruction is possible. Abstract P627 Figure.

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