ABSTRACT
Eustachian valve endocarditis is a rare condition that affects mostly injectable drug users and patients using pacemakers or central venous catheter. We describe the case of a patient who underwent myocardial revascularization with extracorporeal circulation and who presented Eustachian valve endocarditis in the postoperative period, diagnosed by echocardiogram. The blood culture identified Klebsiella pneumoniae. He received appropriate antibiotic therapy and presented resolution of the condition within four weeks.
Subject(s)
Endocarditis, Bacterial/diagnosis , Klebsiella Infections/diagnosis , Klebsiella pneumoniae/isolation & purification , Postoperative Complications/diagnosis , Coronary Disease/surgery , Echocardiography, Transesophageal , Endocarditis, Bacterial/drug therapy , Heart Valve Diseases/diagnostic imaging , Heart Valve Diseases/microbiology , Humans , Klebsiella Infections/drug therapy , Male , Middle Aged , Myocardial Revascularization/adverse effects , Myocardial Revascularization/methods , Postoperative Complications/microbiologyABSTRACT
A endocardite em válvula de Eustáquio é uma condição rara, que ocorre geralmente em usuários de drogas injetáveis e em portadores de marcapasso ou cateter venoso central. Apresentamos um caso de paciente que, em pós-operatório de cirurgia de revascularização do miocárdio com circulação extracorpórea, apresentou endocardite em válvula de Eustáquio diagnosticada pela ecocardiografia, sendo identificada Klebsiella pneumoniae à hemocultura. O paciente foi tratado com antibioticoterapia apropriada, apresentando resolução do quadro em quatro semanas.
Eustachian valve endocarditis is a rare condition that affects mostly injectable drug users and patients using pacemakers or central venous catheter. We describe the case of a patient who underwent myocardial revascularization with extracorporeal circulation and who presented Eustachian valve endocarditis in the postoperative period, diagnosed by echocardiogram. The blood culture identified Klebsiella pneumoniae. He received appropriate antibiotic therapy and presented resolution of the condition within four weeks.
