SciELO - Scientific Electronic Library Online

 
vol.60 número1Pleuropatía secundaria a inductores de la ovulaciónMetástasis infrecuentes en el carcinoma broncogénico índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

  • Não possue artigos citadosCitado por SciELO

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Revista Cubana de Medicina

versão impressa ISSN 0034-7523versão On-line ISSN 1561-302X

Resumo

BEDON GALARZA, Ricardo; VELOZ OCHOA, Ximena  e  ESCALONA CASTILLO, Alexandra. Bacterial endocarditis due to Escherichia coli. Rev cubana med [online]. 2021, vol.60, n.1, e1350.  Epub 25-Fev-2021. ISSN 0034-7523.

Introduction:

Bacterial endocarditis is a rare disease, caused in most cases by gram-positive organisms, such as staphylococci and streptococci, followed by HACEK group organisms and rarely by non-HACEK gram-negative organisms. Its incidence is low, but it is related to high mortality; there are several associated risk factors: advanced age, female sex, history of heart surgery, prosthetic valves, use of central venous or urinary catheters.

Objective:

To describe the available evidence on bacterial endocarditis due to Escherichia coli.

Case report:

We describe the case of an elderly patient, without a history of cardiac surgery, who showed disorientation, asthenia, adynamia, elevation of body temperature, associated with urinary infection, persisting after taken piperacillin-tazobactam for 7 days with temperature rises. Blood cultures confirm Escherichia coli bacteremia and transesophageal echocardiography exhibited vegetation at the native aortic valve level. The patient received antibiotic treatment with third-generation cephalosporin for 30 days, with clinical improvement, echo transesophageal control with no vegetations, and no immediate need for surgical treatment.

Conclusions:

The clinical suspicion of endocarditis is vital when requesting diagnostic tests and interpreting their results.

Palavras-chave : bacterial endocarditis; Escherichia coli; urinary tract infection; transesophageal echocardiography.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )