Tricuspid Valve Repair for Active Infective Endocarditis Complicated by Vertebral Osteomyelitis and a Pancreatic Abscess
10.4326/jjcvs.39.328
- VernacularTitle:多発膿瘍に合併した三尖弁位感染性心内膜炎の1治験例
- Author:
Keitaro Watanabe
;
Satoru Maeba
;
Takahiro Taguchi
- Publication Type:Journal Article
- Keywords:
infective endocarditis;
vertebral osteomyelitis;
tricuspid valve repair;
pancreatic abscess
- From:Japanese Journal of Cardiovascular Surgery
2010;39(6):328-331
- CountryJapan
- Language:Japanese
-
Abstract:
A 65-year-old man was admitted with a high fever and back pain. Because magnetic resonance imaging revealed osteomyelitis in the lumbar spine, we started antibiotic therapy. Echocardiography revealed large vegetation on the tricuspid valve, and abdominal contrast computed tomography revealed a pancreatic abscess. As the vegetation increased in size and mobility it became non-responsive to medical treatment, and surgical removal of the vegetation with tricuspid valve repair were therefore performed. After additional antibiotic therapy, he was discharged 42 days after surgery. No further recurrence of endocarditis has been observed as of the time of writing.