Hamza SUNMAN, Mehmet Ali FELEKOĞLU, Ayşegül USLU, Uğursay KIZILTEPE

Kalp Ekibi ile Stafilokokus Aureus Arasındaki Savaş: Kazanan Hasta Oldu

Enfektif endokardit, gelişmiş tanı araçları ve geniş tedavi seçeneklerine rağmen, özellikle Staphylococcus aureus’a bağlı ise, yüksek morbidite ve mortalitesi olan ciddi bir enfeksiyöz durumdur. Etkili antibiyotik rejimlerine rağmen, uygun hastalarda cerrahi müdahale kararı vermek hayat kurtarıcı olabilmektedir. Bu raporda, ateş nedeniyle başvuran 59 yaşındaki erkek hastayı sunduk. Metisilin-duyarlı Staphylococcus aureus’un yol açtığı aortik kapak endokarditi, AV tam blok, kapak perforasyonu, kalp yetersizliği ve sistemik emboli ile komplike oldu.

Anahtar Kelimeler:

av-tam blok, enfektif endokardit, staphylococcus aureus

The battle between Heart Team and Staphylococcus aureus: The winner was the patient

Infective endocarditis is a serious infectious condition with high morbidity and mortality despite improved diagnostic tools and expanded therapeutic options especially in cases caused by Staphylococcus aureus. Despite effective antibiotic regimens, deciding on surgical intervention in appropriate patients can be lifesaving. In this report, we presented the case of a 59-year-old man, admitted for fever, which was found to be the result of methicillin-sensitive Staphylococcus aureus aortic valve endocarditis, complicated by complete AV block, valvular perforation, heart failure, and systemic embolism.

Keywords:

complete av block, infective endocarditis, staphylococcus aureus,

PDF

___

1. Acikel S, Kilic H, Dogan M, Yeter E. Abscess, aneurysm, fistula, and complete AV block in infective endocarditis of the aortic valve: the four horsemen of the apocalypse. Herz 2014;39:776-779. 2. Sousa A, Lebreiro A, Sousa C, Correia AS, Almeida P, Macedo F, et al. An atypical presentation of infective endocarditis. Rev Port Cardiol 2012;31:829-832. 3. Dogan A. [Reflections from infective endocarditis guideline by European Society of Cardiology; What will change in our practice?]. Turk Kardiyol Dern Ars 2015;43:673-677. 4. Gulmez O, Aydin M. Complicated left-sided infective endocarditis in chronic hemodialysis patients: a case report. Turk Kardiyol Dern Ars 2017;45:73-76. 5. Hasebe H, Takanohashi A, Shirota K, Nakamura H. Infective Endocarditis with Intermittent Atrioventricular Block and Pseudoaneurysm of the Mitral-aortic Intervalvular Fibrosa in a Patient with Severe Aortic Stenosis. Intern Med 2016;55:2825-2829. 6. Brown RE, Chiaco JM, Dillon JL, Catherwood E, Ornvold K. Infective Endocarditis Presenting as Complete Heart Block With an Unexpected Finding of a Cardiac Abscess and Purulent Pericarditis. J Clin Med Res 2015;7:890-895. 7. Gordon RJ, Lowy FD. Pathogenesis of methicillin-resistant Staphylococcus aureus infection. Clin Infect Dis 2008;46 Suppl 5:S350-359. 8. Tong SY, Davis JS, Eichenberger E, Holland TL, Fowler VG, Jr. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin Microbiol Rev 2015;28:603-661.