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Achmad Lefi
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Denny Suwanto
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Evelyne Chandra
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Tony Santoso Putra
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Eka Prasetya Budi Mulia
Keywords:
Prosthetic Valve, Endocarditis, Staphylococcus Aureus, Mitral Stenosis, Echocardiography
Abstract
Prosthetic valve endocarditis (PVE) accounts for 20.1% of all infective endocarditis cases. We report a case of PVE complicated by arrhythmias, embolic phenomenon, and sepsis. A 64-year-old female with history of mitral valve replacement presented to the hospital with febrile episode and malaise. Echocardiography showed vegetation at paravalvular area, and Staphylococcus aureus was found on blood culture. Aggressive intravenous antibiotic cover and hemodynamic support were initiated. The management of PVE remains a challenge due to its malignant course and heterogenous complications.
Citation: Suwanto D, Lefi A, Chandra E, Putra TS, Mulia EPB. Paravalvular vegetations in prosthetic valve endocarditis with a malignant course: a case report. Anaesth. pain intensive care 2022;26(5):723-726.
DOI: 10.35975/apic.v26i5.2012
Author Biographies
Achmad Lefi
Achmad Lefi, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia
Denny Suwanto
Denny Suwanto, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia
Evelyne Chandra
Evelyne Chandra, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
Tony Santoso Putra
Tony Santoso Putra, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia
Eka Prasetya Budi Mulia
Eka Prasetya Budi Mulia, Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia
