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Actinobacillus Endocarditis Associated with Hypertrophic Cardiomyopathy

2012-08-13Journal article Open access
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dc.contributor.authorJorge, VC
dc.contributor.authorAraújo, AC
dc.contributor.authorGrilo, A
dc.contributor.authorNoronha, C
dc.contributor.authorPanarra, A
dc.contributor.authorRiso, N
dc.contributor.authorVaz Riscado, M
dc.date.accessioned2018-05-23T10:47:43Z
dc.date.available2018-05-23T10:47:43Z
dc.date.issued2012-08-13
dc.description.abstractInfective endocarditis can be associated with complex clinical presentations, sometimes with a difficult multi-disciplinary management. Actinobacillus actinomycetemcomitans belongs to the Haemophilus species, Actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens and Kingella species group, responsible for 5% to 10% of infective endocarditis in native heart valves. These organisms have slow fastidious growth pattern, often associated with negative cultures, and cause systemic embolism with abscess formation. The authors present the case of a 59-year-old man, admitted due to fever of unknown origin, with a personal history of obstructive hypertrophic cardiomyopathy and recent dental manipulation. The diagnosis of mitral valve's endocarditis was established after a transoesophageal ecocardiography, with a late isolation of A actinomycetemcomitans in blood culture. Despite the institution of antibiotic therapy, the patient suffered from multiple episodes of septic embolism: skin, mucosae, cerebral abscesses, spondylodiscitis and uveitis. He was submitted to heart surgery with miectomy and replacement of the native mitral valve by a mechanical prosthesis, while on antibiotics.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBMJ Case Rep. 2012 Aug 13;2012. pii: bcr0420114140.pt_PT
dc.identifier.doi10.1136/bcr.04.2011.4140pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2985
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.subjectAnti-Bacterial Agentspt_PT
dc.subjectCardiomyopathy, Hypertrophicpt_PT
dc.subjectEchocardiography, Transesophagealpt_PT
dc.subjectEndocarditis, Bacterialpt_PT
dc.subjectFever of Unknown Originpt_PT
dc.subjectHeart Valve Diseasespt_PT
dc.subjectHumanspt_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectPasteurellaceae Infectionspt_PT
dc.subjectAggregatibacter actinomycetemcomitanspt_PT
dc.subjectMitral Valvept_PT
dc.subjectHCC MEDpt_PT
dc.titleActinobacillus Endocarditis Associated with Hypertrophic Cardiomyopathypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagebcr0420114140pt_PT
oaire.citation.issueaug09 1pt_PT
oaire.citation.startPagebcr0420114140pt_PT
oaire.citation.titleBMJ Case Reportspt_PT
oaire.citation.volume2012pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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