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Acute Bivalvular Left-Sided Methicillin-Resistant Staphylococcus Aureus Endocarditis with Cardiac, Cerebral, Renal and Septic Complications

2011Journal article Open access
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dc.contributor.authorPóvoas, D
dc.contributor.authorFigueiredo, M
dc.contributor.authorMurinello, A
dc.contributor.authorDamásio, H
dc.contributor.authorRamos, A
dc.contributor.authorRodrigues, N
dc.contributor.authorSousa, J
dc.contributor.authorCarvalho, F
dc.contributor.authorPeres, H
dc.contributor.authorGomes, P
dc.date.accessioned2012-08-07T12:24:21Z
dc.date.available2012-08-07T12:24:21Z
dc.date.issued2011
dc.description.abstractInfective endocarditis (IE) is now rare in developed countries, but its prevalence is higher in elderly patients with prosthetic valves, diabetes, renal impairment, or heart failure. An increase in health-care associated IE (HCAIE) has been observed due to invasive maneuvers (30% of cases). Methicillin-resistant Staphylococcus aureus (MRSA) and Enterococcus are the most common agents in HCAIE, causing high mortality and morbidity. We review complications of IE and its therapy, based on a patient with acute bivalvular left-sided MRSA IE and a prosthetic aortic valve, aggravated by congestive heart failure, stroke, acute immune complex glomerulonephritis, Candida parapsilosis fungémia and death probably due to Serratia marcescens sepsis. The HCAIE was assumed to be related to three temporally associated in-hospital interventions considered as possible initial etiological mechanisms: overcrowding in the hospital environment,iv quinolone therapy and red blood cell transfusion. Later in the clinical course,C. parapsilosis and S. marcescens septicemia were considered to be possible secondary etiological mechanisms of HCAIE.por
dc.identifier.citationRev Port Cardiol. 2011 Jun;30(6):611-20por
dc.identifier.urihttp://hdl.handle.net/10400.17/613
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSociedade Portuguesa de Cardiologiapor
dc.subjectDoença Agudapor
dc.subjectLesão Renal Agudapor
dc.subjectVálvula Aórticapor
dc.subjectBacteriemiapor
dc.subjectEndocardite Bacterianapor
dc.subjectResultado Fatalpor
dc.subjectFungemiapor
dc.subjectInsuficiência Cardíacapor
dc.subjectEstafilocócos Aureus Meticilino-Resistentepor
dc.subjectInfecções Relacionadas com Prótesepor
dc.subjectInfecções por Estafilocócospor
dc.subjectAcidente Vascular Cerebralpor
dc.subjectAVCpor
dc.subjectHCC CAR
dc.subjectHCC MED
dc.subjectHCC NEF
dc.subjectHCC PAT CLIN
dc.titleAcute Bivalvular Left-Sided Methicillin-Resistant Staphylococcus Aureus Endocarditis with Cardiac, Cerebral, Renal and Septic Complicationspor
dc.title.alternativeEndocardite Aguda Bi-Valvular Esquerda por Estafilococo Aureus Meticilino-Resistente com Complicações Cardíaca, Cerebral, Renal e Sepsispor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage620por
oaire.citation.startPage611por
oaire.citation.titleRevista Portuguesa de Cardiologiapor
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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