Successful Medical Treatment of Prosthetic Valve Endocarditis with a Perivalvular Abscess
10.4326/jjcvs.41.21
- VernacularTitle:内科的治療が奏功した弁輪周囲膿瘍を伴った大動脈弁位人工弁感染性心内膜炎の1例
- Author:
Chikara Ueki
;
Takeshi Shimamoto
;
Genichi Sakaguchi
;
Tatsuhiko Komiya
- Publication Type:Journal Article
- Keywords:
prosthetic valve endocarditis;
perivalvular abscess;
Streptococcal species
- From:Japanese Journal of Cardiovascular Surgery
2012;41(1):21-24
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old man visited our hospital with a high fever with chills 4 years after aortic valve replacement. Streptococcal species were cultured with a venous blood culture. An echocardiogram and a cardiac computed tomography (CT) scan revealed a perivalvular abscess (11 mm×15 mm). Because his prosthetic valve functioned well, he was treated with intravenous ampicillin and gentamicin. Cardiac CT scan performed at 6 weeks showed the perivalvular abscess to have disappeared and he was discharged from the hospital. He is free from recurrence of the abscess 20 months after the initiation of therapy.
