Aneurismas micóticos y embolías múltiples en una paciente con endocarditis infecciosa / Mycotic aneurysms and multiple emboli in a patient with infectious endocarditis
Rev. méd. Chile
; 125(6): 696-700, jun. 1997. tab, ilus
Article
en Es
| LILACS
| ID: lil-197769
Biblioteca responsable:
CL1.1
ABSTRACT
Sepsis from an infected cardiac value can lead to bacterial seeding and destruction of the arterial wall with formation of a mycotic aneurysm. The natural history of these lesions is the rupture. We report the case of a 20 year old female who was admitted to our institution with massive mitral regugirtation and emboli of the central nervous system and both lower extremities. She underwent emergency valve replacement and then, staged treatment of her ischmic legs and multiple asymptomatic mycotic aneurysms. Superior mesenteric, right common iliac and left superficial femoral arteries. A splenectomy was required to treat a splenic abscess. An aneurysm of a peripheral branch of the middle cerebral artery was medically treated, demonstrating reduction in size on subsequente angiogram.She recoverd uneventfully and remains asymptomatic after 20 months of follow up. The development of new diagnostic and therapeutic tools had led to a decrease ot these complications during infectious endocarditis. However, in the patient with late diagnosis and symptoms in different territories, the mycotic aneurysm must be kept in mind to provide the patient with appropriate treatment
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Colección:
01-internacional
Base de datos:
LILACS
Asunto principal:
Aneurisma Infectado
/
Embolia
/
Endocarditis Bacteriana
Límite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Rev. méd. Chile
Asunto de la revista:
MEDICINA
Año:
1997
Tipo del documento:
Article
Pais de publicación:
Chile