Infective Endocarditis—Update for the Perioperative Clinician

Jain, Ankit; Subramani, Sudhakar; Gebhardt, Brian J.; Hauser, Joshua; Bailey, Caryl; Ramakrishna, Harish

doi:10.1053/j.jvca.2022.12.030

Cited by 6 publications

(4 citation statements)

References 85 publications

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“…The unfavorable evolution was determined by the low immunity of the patient given by the associated pathology (liver cirrhosis, COPD), by the simultaneous involvement of both the right and left heart, by the presence of large vegetations with embolic risk, and by the pattern of antibiotic resistance of this new germ [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Vancomycin-Resistant Streptococcus thoraltensis: A Case Report of Bacterial Endocarditis and Review of Literature on Infections Caused by This Pathogen

Chiorescu,

Buksa,

Botan

et al. 2024

Microorganisms

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Streptococcus thoraltensis is a rare species, part of the viridans streptococcus group, found initially in rabbits and pigs, which can be vancomycin-resistant. We present the case of a 65-year-old patient, a smoker and chronic alcohol consumer with chronic obstructive pulmonary disease (COPD) and multiple dental foci who had been diagnosed with bacterial endocarditis caused by Streptococcus thoraltensis. The particular elements of the case consisted of an atypical clinical presentation with diarrheal stools, abdominal pain, concomitant damage to the aortic and tricuspid valves, the presence of large vegetations (>2 cm), and a vancomycin-resistant strain of Streptococcus thoraltensis. The evolution of the patient was unfavorable due to septic embolisms, respiratory failure requiring orotracheal intubation, and septic and cardiogenic shock. Infections with Streptococcus thoraltensis are challenging to treat because of the severity of the clinical form it causes and the pattern of antibiotic resistance in this germ. Based on our brief review, Streptococcus thoraltensis is an extremely rare human pathogen previously described as the etiologic agent of infectious endocarditis in only one case.

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Section: Discussionmentioning

confidence: 99%

Vancomycin-Resistant Streptococcus thoraltensis: A Case Report of Bacterial Endocarditis and Review of Literature on Infections Caused by This Pathogen

Chiorescu,

Buksa,

Botan

et al. 2024

Microorganisms

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“…La detección de vegetación puede ser difícil debido a los artefactos de las válvulas y, por lo tanto, la ETT no se podría considerar como un estándar de oro. En particular, las sensibilidades de la ETT y la ETE para las vegetaciones fueron del 36 al 69% y del 87 al 100%, respectivamente (9) . El modo M es útil por su alta resolución temporal para detectar pequeñas vegetaciones con movimiento autonómico errático o de «papel rasgado» (10) .…”

Section: Ecocardiografíaunclassified

“…Es fundamental cuando no se puede identificar correctamente la localización anatómica de las lesiones con la ecocardiografía bidimensional para una planificación quirúrgica avanzada. Su uso llena el vacío entre la ecocardiografía 2D y la anatomía (9)(10)(11) .…”

Section: Ecocardiografíaunclassified

“…Además, la ACC/AHA 2020 recomienda una repetición de ETE de 3 a 5 días después de la primera evaluación de ETE (13) , mientras que las pautas de ESC recomiendan esperar de 7 a 10 días antes de esa repetición (1) . Por otra parte, la AHA no recomienda específicamente repetir la ecocardiografía para el seguimiento de los casos de EI sin complicaciones; sin embargo, la ESC hace esta recomendación para detectar complicaciones silenciosas y monitorear el tamaño de la vegetación (9) .…”

Section: Ecocardiografíaunclassified

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