'Culture-negative' prosthetic valve endocarditis. Hazards of postoperative steroid therapy for unexplained fever.
Arch Intern Med
; 144(10): 2083-4, 1984 Oct.
Article
em En
| MEDLINE
| ID: mdl-6486992
ABSTRACT
Two patients had prolonged unexplained fever along with multiple negative blood cultures after cardiac valve replacement surgery. Following the administration of corticosteroids for presumed postpericardiotomy syndrome, both patients improved symptomatically and defervesced, only to have positive blood cultures for Staphylococcus epidermidis shortly thereafter. The theoretical and practical risks of the empiric use of anti-inflammatory agents for unexplained post-operative fever are reviewed. "Culture-negative" prosthetic valvular infection due to prior antibiotic prophylaxis or therapy must be strongly considered in the evaluation of such unexplained fever.
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Bases de dados:
MEDLINE
Assunto principal:
Próteses Valvulares Cardíacas
/
Corticosteroides
/
Endocardite Bacteriana
/
Febre
Tipo de estudo:
Etiology_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Intern Med
Ano de publicação:
1984
Tipo de documento:
Article