Abstract
We report a case of Pseudomonas stutzeri endocarditis in Lebanon. The patient had a recent history of prosthetic aortic valve replacement and presented to the emergency department with fever and chills. Transesophageal echocardiography confirmed the presence of a vegetation on the prosthetic valve and blood cultures yielded P. stutzeri. The patient was treated with surgery and antibiotics but deteriorated and passed away four days after admission. To our knowledge, this is the fifth case of P. stutzeri endocarditis reported in the literature, and the first case with early presentation and mortality.
Keywords:
Endocarditis; Prosthetic valve; Pseudomonas stutzeri.
Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
MeSH terms
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Aged
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Aortic Valve*
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Ceftazidime / administration & dosage
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Ceftazidime / therapeutic use
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Chills / etiology
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / diagnostic imaging
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Endocarditis, Bacterial / drug therapy
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Heart Valve Prosthesis / adverse effects*
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Heart Valve Prosthesis Implantation*
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Humans
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Infusions, Intravenous
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Male
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Postoperative Complications / diagnosis
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / drug therapy
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Prosthesis-Related Infections / complications
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / diagnostic imaging
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Prosthesis-Related Infections / drug therapy
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Pseudomonas stutzeri / isolation & purification*
Substances
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Anti-Bacterial Agents
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Ceftazidime