3.Infective endocarditis-induced crescentic glomerulonephritis dramatically improved after removal of vegetations and valve replacement.
Min YANG ; Guo-Qin WANG ; Yi-Pu CHEN ; Hong CHENG
Chinese Medical Journal 2015;128(3):404-406
Aged
;
Aortic Valve
;
pathology
;
surgery
;
Endocarditis
;
complications
;
surgery
;
Endocarditis, Bacterial
;
complications
;
surgery
;
Female
;
Glomerulonephritis
;
etiology
;
Humans
5.A case of infective endocarditis caused by Streptococcus agalactiae, in a patient with advanced gastric cancer.
Tae Kyung LIM ; Su Jin KIM ; Joo Hee KIM ; Chang Beom CHO ; Yu Jin KIM ; Kun Il KIM ; Seung Soon LEE
Korean Journal of Medicine 2009;77(Suppl 1):S209-S212
The epidemiology of Group B streptococcal disease has been changing. Since the 1990s, early-onset neonatal and maternal peripartum infections have decreased, due to the administration of prophylactic intrapartum antibiotics. On the other hand, invasive Group B streptococcal infections have increased in nonpregnant adults, especially in elderly persons and in those with chronic immunosuppressive diseases, such as diabetes mellitus, liver cirrhosis, and malignancies. Although infective endocarditis is an uncommon manifestation of invasive Streptococcus agalactiae infection, it usually leads to cardiac surgery, due to heart failure associated with rapid valve destruction and the formation of emboli. Several cases of endocarditis due to S. agalactiae have appeared in the literature, but there have been few reports in Korea. We present a case of S. agalactiae infective endocarditis in an elderly patient with advanced gastric cancer, successfully treated with intravenous antibiotics and cardiac surgery.
Adult
;
Aged
;
Anti-Bacterial Agents
;
Diabetes Mellitus
;
Endocarditis
;
Endocarditis, Bacterial
;
Hand
;
Heart Failure
;
Humans
;
Korea
;
Liver Cirrhosis
;
Peripartum Period
;
Stomach Neoplasms
;
Streptococcal Infections
;
Streptococcus
;
Streptococcus agalactiae
;
Thoracic Surgery
6.A case of infective endocarditis caused by Streptococcus agalactiae, in a patient with advanced gastric cancer.
Tae Kyung LIM ; Su Jin KIM ; Joo Hee KIM ; Chang Beom CHO ; Yu Jin KIM ; Kun Il KIM ; Seung Soon LEE
Korean Journal of Medicine 2009;77(Suppl 1):S209-S212
The epidemiology of Group B streptococcal disease has been changing. Since the 1990s, early-onset neonatal and maternal peripartum infections have decreased, due to the administration of prophylactic intrapartum antibiotics. On the other hand, invasive Group B streptococcal infections have increased in nonpregnant adults, especially in elderly persons and in those with chronic immunosuppressive diseases, such as diabetes mellitus, liver cirrhosis, and malignancies. Although infective endocarditis is an uncommon manifestation of invasive Streptococcus agalactiae infection, it usually leads to cardiac surgery, due to heart failure associated with rapid valve destruction and the formation of emboli. Several cases of endocarditis due to S. agalactiae have appeared in the literature, but there have been few reports in Korea. We present a case of S. agalactiae infective endocarditis in an elderly patient with advanced gastric cancer, successfully treated with intravenous antibiotics and cardiac surgery.
Adult
;
Aged
;
Anti-Bacterial Agents
;
Diabetes Mellitus
;
Endocarditis
;
Endocarditis, Bacterial
;
Hand
;
Heart Failure
;
Humans
;
Korea
;
Liver Cirrhosis
;
Peripartum Period
;
Stomach Neoplasms
;
Streptococcal Infections
;
Streptococcus
;
Streptococcus agalactiae
;
Thoracic Surgery
7.The treatment of infective endocarditis in children: interpretation of the guideline on diagnosis, treatment and prevention by American Heart Association and European Society of Cardiology.
Chinese Journal of Pediatrics 2012;50(6):474-479
American Heart Association
;
Anti-Bacterial Agents
;
administration & dosage
;
therapeutic use
;
Cardiac Surgical Procedures
;
Child
;
Drug Resistance, Bacterial
;
Drug Therapy, Combination
;
Endocarditis
;
drug therapy
;
surgery
;
Endocarditis, Bacterial
;
drug therapy
;
surgery
;
Humans
;
Practice Guidelines as Topic
;
United States
8.A Case of Endocarditis Related to Pacemaker-Lead Infection.
Dong Rim KIM ; Ok PARK ; Ki Ho PARK ; Sung Hee SHIN ; Jang Wook SOHN ; Hee Jin CHEONG ; Woo Joo KIM ; Young Hoon KIM ; Min Ja KIM ; Seung Chul PARK ; Hyoung Mook KIM
Korean Journal of Infectious Diseases 1999;31(5):450-454
Endocarditis related to pacemaker-lead infection is a rare complication characterized by infection on the pacemaker electrode tip, tricuspid valve, or the fibrotic endocardial areas that are in contact with the electrode tip. However, it is a serious, potentially life-threatening complication. We experienced a case of pacemaker endocarditis in a 39-year old male patient in whom a permanent pacemaker had been inserted four years before. The diagnosis was made by the demonstration of vegetations on the electrode tip of the pacemaker, that was detected by transthoracic echocardiography and isolation of methicillin-resistant Staphylococcus epidermidis from blood culture. The patient was managed with antibiotics for six weeks and the infected electrode was removed by open heart surgery.
Adult
;
Anti-Bacterial Agents
;
Diagnosis
;
Echocardiography
;
Electrodes
;
Endocarditis*
;
Humans
;
Male
;
Methicillin Resistance
;
Staphylococcus epidermidis
;
Thoracic Surgery
;
Tricuspid Valve
9.A Case of Endocarditis Related to Pacemaker-Lead Infection.
Dong Rim KIM ; Ok PARK ; Ki Ho PARK ; Sung Hee SHIN ; Jang Wook SOHN ; Hee Jin CHEONG ; Woo Joo KIM ; Young Hoon KIM ; Min Ja KIM ; Seung Chul PARK ; Hyoung Mook KIM
Korean Journal of Infectious Diseases 1999;31(5):450-454
Endocarditis related to pacemaker-lead infection is a rare complication characterized by infection on the pacemaker electrode tip, tricuspid valve, or the fibrotic endocardial areas that are in contact with the electrode tip. However, it is a serious, potentially life-threatening complication. We experienced a case of pacemaker endocarditis in a 39-year old male patient in whom a permanent pacemaker had been inserted four years before. The diagnosis was made by the demonstration of vegetations on the electrode tip of the pacemaker, that was detected by transthoracic echocardiography and isolation of methicillin-resistant Staphylococcus epidermidis from blood culture. The patient was managed with antibiotics for six weeks and the infected electrode was removed by open heart surgery.
Adult
;
Anti-Bacterial Agents
;
Diagnosis
;
Echocardiography
;
Electrodes
;
Endocarditis*
;
Humans
;
Male
;
Methicillin Resistance
;
Staphylococcus epidermidis
;
Thoracic Surgery
;
Tricuspid Valve
10.A Case of Acute Infective Endocarditis Initially Presenting as Acute Pyelonephritis.
Youn Hee LEE ; Jin Hee LEE ; Bo Mi CHOI ; Young Jae KO ; Soo Kyoung CHOI ; Yeong Bok LEE ; Young Min KIM ; Young Ok KIM
Journal of the Korean Society of Emergency Medicine 2015;26(6):605-608
Infective endocarditis carries high risk of morbidity and mortality. Rapid diagnosis and effective treatment are essential to good patient outcome. However, nonspecific symptoms and various clinical manifestations make early diagnosis difficult. Here we report on an unusual case of infective endocarditis initially presenting as acute pyelonephritis (APN). A 44-year-old female with a history of heart surgery was admitted for fever and both flank pain. The patient had undergone dental extraction 3 weeks prior to admission. Her lab work and physical examination revealed pyuria, positive bacterial culture of both blood and urine, costovertebral knocking tenderness, and CT findings consistent with APN, leading to her initial diagnosis as APN. Despite treatment with antibiotics, her symptoms did not improve while further physical examination revealed newly developed Osler's nodes and Janeway lesions. Echocardiography showed vegetation of the aortic valve with severe aortic regurgitation. She was diagnosed as a case of infective endocarditis and was treated successfully.
Adult
;
Anti-Bacterial Agents
;
Aortic Valve
;
Aortic Valve Insufficiency
;
Diagnosis
;
Early Diagnosis
;
Echocardiography
;
Endocarditis*
;
Endocarditis, Bacterial
;
Female
;
Fever
;
Flank Pain
;
Humans
;
Mortality
;
Physical Examination
;
Pyelonephritis*
;
Pyuria
;
Staphylococcus aureus
;
Thoracic Surgery