A Case of Early Valve Replacement for Haemophilus parainfluenzae Endocarditis Complicated with Acute Cerebral Infarctions.
- Author:
Myung Ho KANG
1
;
Kyoung Ree LIM
;
Tae Suk KIM
;
Se Hyeon KIM
;
Gyeong Hyeon KIM
;
Won Sup OH
;
Kilsoo YIE
Author Information
- Publication Type:Case Report
- Keywords: Bacterial endocarditis; Haemophilus parainfluenzae; Cerebral infarction; Mitral valve stenosis; Heart valve prosthesis implantation
- MeSH: Cerebral Infarction; Dyspnea; Echocardiography; Endocarditis; Endocarditis, Bacterial; Haemophilus; Haemophilus parainfluenzae; Heart Valve Prosthesis Implantation; Humans; Incidence; Intracranial Embolism; Male; Middle Aged; Mitral Valve; Mitral Valve Stenosis; Paramyxoviridae Infections
- From:Infection and Chemotherapy 2011;43(3):270-274
- CountryRepublic of Korea
- Language:Korean
- Abstract: Haemophilus parainfluenzae, one of the member of the HACEK group of gram-negative oropharyngeal species, is a rare cause of subacute native valve endocarditis. Infective endocarditis caused by H. parainfluenzae appears to carry a high incidence rate of cerebral embolism, often making the timing of surgical intervention difficult. A 52-year-old male was diagnosed with acute endocarditis caused by H. parainfluenzae complicated with acute cerebral infarctions. After institution of antibiotic therapy, this patient was mechanically ventilated because of the sudden onset of dyspnea. Repeated two-dimensional echocardiography demonstrated rate-dependent mitral stenosis without interval change of vegetations on the mitral valve. Making a decision regarding the timing of surgical intervention was difficult because of a fear of clinical deterioration after early valve replacement.
