Early-onset Streptomyces endocarditis in a prosthetic aortic valve

Jaffar S. Shehatha, Abdulsalam Y. Taha

    Research output: Contribution to journalArticle

    Abstract

    A 66-year-old Australian man underwent elective replacement of a severely stenotic aortic valve with a 22-mm Medtronic-Hall valve. Six weeks later, he was readmitted with worsening dyspnea, fever, and mild anemia. Investigations confirmed pulmonary edema and moderate periprosthetic aortic regurgitation. The pulmonary edema was managed conservatively, and a second 22-mm Medtronic-Hall valve was implanted. Infective endocarditis was suspected in the aortic annulus below the orifice of the right coronary artery. A bacteriological study revealed a rare bacteria of Streptomyces species. The patient received intensive antibiotic therapy over a 6-week period of hospitalization, and the aortic regurgitation disappeared one week postoperatively.

    Original languageEnglish
    Pages (from-to)137-139
    Number of pages3
    JournalAsian Cardiovascular and Thoracic Annals
    Volume25
    Issue number2
    DOIs
    Publication statusPublished - 1 Feb 2017

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