RESUMO
We report a case of a 65 year-old woman with late endocarditis of prosthetic aortic valve and paravalvular abscess by Stenotrophomonas maltophilia, which had an acute presentation for the memtionated abscess broken, with fever, bacteremia and congestive heart failure secondary to severity aortic regurgitation. Itacute;s a rare cause of endocarditis with only 22 cases descripted in medical literature, the most of them in parenteral drug addict and as complication of cardiac valve replacement. The literature is reviewed and relate the epidemiology, clinical and prognosis characteristics of this disease, the same as his treatment and prevention.
Assuntos
Endocardite Bacteriana/microbiologia , Infecções por Bactérias Gram-Negativas/microbiologia , Próteses Valvulares Cardíacas/efeitos adversos , Infecções Relacionadas à Prótese/microbiologia , Stenotrophomonas maltophilia , Abscesso/microbiologia , Idoso , Valva Aórtica/cirurgia , Insuficiência da Valva Aórtica/etiologia , Insuficiência da Valva Aórtica/cirurgia , Feminino , Humanos , Reoperação , Ruptura EspontâneaRESUMO
Se presenta el caso de una mujer de 65 años con una endocarditis tardía localizada en la válvula protésica aórtica y absceso paravalvular producida por Stenotrophomonas maltophilia. El proceso debuta, de forma aguda con la rotura del referido absceso que cursa con fiebre, bacteriemia e insuficiencia cardíaca congestiva secundaria a insuficiencia aórtica severa. La identificación de Stenotrophomonas maltophilia, como agente responsable, representa una excepcional causa de endocarditis pues sólo 22 casos han sido descritos en la literatura médica y la mayoría de ellos en adictos a drogas por vía parenteral o como complicación del recambio valvular cardíaco. Hemos realizado una revisión sobre las características epidemiológicas, clínicas y pronósticas de esta enfermedad, así como de su tratamiento y prevención (AU)
We report a case of a 65 year-old woman with late endocarditis of prosthetic aortic valve and paravalvular abscess by Stenotrophomonas maltophilia, which had an acute presentation for the memtionated abscess broken, with fever, bacteremia and congestive heart failure secondary to severity aortic regurgitation. It´s a rare cause of endocarditis with only 22 cases descripted in medical literature, the most of them in parenteral drug addict and as complication of cardiac valve replacement. The literature is reviewed and relate the epidemiology, clinical and prognosis characteristics of this disease, the same as his treatment and prevention (AU)
