Keywords :
Abscess/microbiology/surgery; Anti-Bacterial Agents/therapeutic use; Endocarditis, Bacterial/diagnosis/drug therapy; Enterococcus faecalis; Gram-Positive Bacterial Infections/diagnosis/drug therapy; Heart Valve Prosthesis/microbiology; Humans; Male; Middle Aged; Prosthesis-Related Infections/diagnosis/drug therapy/microbiology
Abstract :
[en] The case of a 60-year-old male presenting fever of recent onset is reported. He had undergone a Bentall operation seven yeasr previously. An infective endocarditis caused by Entercoccus Faecalis was detected on his prosthetic valve. After a favorable evolution under antibiotic treatment, the patient developed a perivalvular abscess requiring surgical treatment. The patient's evolution was satisfactory. Diagnosis, with the specific role of echocardiography; treatment, with a recall of surgical indications; particularities of the specific complication and prevention of this pathology are discussed.
Alternative titles :
[en] Clinical case of the month. A complicated infective endocarditis, diagnosis, treatment and prophylaxis
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