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Results for “ENDOCARDITIS, INFECTIOUS”

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At least 523 records · Page 29Linked to original sources
PubMed1986

[Treatment of infectious endocarditis with trimethoprim-sulfamethoxazole and cardiac surgery].

A 12 year old boy was admitted to hospital with fever, general malaise, cough and peripheral edema. The patient who have had rheumatic heart diseases-mitral insufficiency was found to be in congestive cardiac failure. In blood cultures Staphylococcus aureus and Alpha-hemolytic streptococcus grew. The regimens of Cephalothin-Gentamicin, Methicillin-Tobramicin, to which the organism were sensitive were given intravenously. On these therapy the patient continued to have fever. He was put on Trimethoprim-Sulfomethoxazole intramuscularly. He became afebril for the first time. After two weeks fever recurred. In spite of medical treatment, the infection persisted and the indication for surgery was considered. Mitral valve replacement with a Starr-Edwards prosthesis was carried out. Postoperatively, the patient was treated with TMP-SMZ. For the past 10 months the patient has remained afebril and without evidence of congestive heart failure.

Child↗
PubMed1986

[Infectious endocarditis in hypertrophic obstructive cardiomyopathy].

Clinical and pathological findings in a 37-year-old female patient with HOCM and infective endocarditis of the aortal and mitral valves were reported. The patient died of septic shock. Infective endocarditis with acute insufficiency of the aortal and/or mitral valves is a severe complication in patients with HOCM, because the left ventricle with a disturbed compliance is unable to compensate the acute volume overload. The standard use of nitrates for congestive lung failure and catecholamines for septic shock is problematic. As with other valvular heart diseases, preventive treatment for infective endocarditis is also recommended for patients with HOCM. In the case of acute endocarditis combined with HOCM early surgical intervention must be discussed.

Adult↗
PubMed1986

[Prevention of infectious endocarditis in surgical diseases].

Case histories of 220 patients with infective endocarditis were studied. Groups of patients with high risk of the disease were established. "Risk coefficient" was calculated. A system of measures for prevention of infective endocarditis in surgical patients is proposed.

Endocarditis, Bacterial↗