Detalhes bibliográficos
| Resumo: | 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. |
|---|
| Autores principais: | Tosatto, V |
|---|
| Outros Autores: | Cruz, C; Ferreira, T; Moreira Marques, T; Boattini, M; Almeida, A; Barata Moura, R |
|---|
| Assunto: | HSM MED Transcatheter Aortic Valve Implantation Infective Endocarditis Klebsiella Pneumoniae Bacteraemia |
|---|
| Ano: | 2020 |
|---|
| País: | Portugal |
|---|
| Tipo de documento: | artigo |
|---|
| Tipo de acesso: | acesso aberto |
|---|
| Instituição associada: | Centro Hospitalar de Lisboa Central, EPE (CHLC) |
|---|
| Idioma: | inglês |
|---|
| Origem: | Repositório do Centro Hospitalar de Lisboa Central, EPE |
|---|