Rapidly destructive Staphylococcus epidermidis endocarditis.

Zinkernagel, A S; Speck, R F; Ruef, C; Zingg, W; Berger-Bachi, B; Springer, B

Zinkernagel, A S; Speck, R F; Ruef, C; Zingg, W; Berger-Bachi, B; Springer, B.

Afiliación

Zinkernagel AS; Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, Raemistr. 100, 8091 Zurich, Switzerland. annelies.zinkernagel@usz.ch

Infection ; 33(3): 148-50, 2005 Jun.

Article en En | MEDLINE | ID: mdl-15940416

RESUMEN

A 29-year-old man with rapidly destructive Staphylococcus epidermidis endocarditis after mitral valve reconstruction is presented. Resistance to rifampin and teicoplanin occurred during antibiotic treatment resulting in clinical failure and valve destruction. Subsequently, the patient was successfully treated, by combining valve replacement with antibiotic therapy including quinupristin/dalfopristin, levofloxacin, and vancomycin. In conclusion, S. epidermidis can cause rapid valve destruction with large vegetations, and combination of surgery and antibiotic therapy may be necessary.

Asunto(s)

Endocarditis Bacteriana/microbiología; Infecciones Estafilocócicas/diagnóstico; Staphylococcus epidermidis/aislamiento & purificación; Adulto; Antibacterianos/uso terapéutico; Progresión de la Enfermedad; Farmacorresistencia Bacteriana Múltiple; Endocarditis Bacteriana/tratamiento farmacológico; Endocarditis Bacteriana/cirugía; Humanos; Masculino; Infecciones Estafilocócicas/tratamiento farmacológico; Infecciones Estafilocócicas/microbiología; Staphylococcus epidermidis/efectos de los fármacos

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones Estafilocócicas / Staphylococcus epidermidis / Endocarditis Bacteriana Límite: Adult / Humans / Male Idioma: En Revista: Infection Año: 2005 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania

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