Autor(es): Tosatto, V ; Cruz, C ; Ferreira, T ; Moreira Marques, T ; Boattini, M ; Almeida, A ; Barata Moura, R
Data: 2020
Identificador Persistente: http://hdl.handle.net/10400.17/3451
Origem: Repositório do Centro Hospitalar de Lisboa Central, EPE
Assunto(s): HSM MED; Transcatheter Aortic Valve Implantation; Infective Endocarditis; Klebsiella Pneumoniae; Bacteraemia
The authors report the case of an 86-year-old woman presenting with recurrent Klebsiella pneumoniae bacteraemia. She had severe aortic stenosis submitted to a recent transcatheter aortic valve implantation (TAVI). Initially, Klebsiella pneumoniae bacteraemia from a urinary source was diagnosed. Following another 4 episodes of bacteraemia with the same agent, the source was ultimately found to be a periprosthetic abscess. Considering the patient's unsuitability for surgery, a decision was made for life-long antimicrobial therapy. This approach has been successful in preventing recurrences or complications. Endocarditis is one of the most severe complications seen following TAVI, often carrying a poor prognosis. Even though Klebsiella spp. are common pathogens for healthcare-associated infections among the elderly, they are seldom the causative agent for endocarditis. Being the first reported case of TAVI-related Klebsiella endocarditis, it was successfully managed using a medical approach.
