Unusual infective prosthetic valve endocarditis due to Pseudomonas monteilii and Acinetobacter nosocomialis with a fatal result
Rev Esp Anestesiol Reanim (Engl Ed). 2019 Nov;66(9):487-489.
doi: 10.1016/j.redar.2019.06.003.
Epub 2019 Jul 25.
[Article in
English,
Spanish]
Affiliations
- 1 Unidad de Cuidados Críticos Postoperatorios, Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España. Electronic address: manutabo@yahoo.es.
- 2 Servicio de Microbiología, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España.
- 3 Unidad de Cuidados Críticos Postoperatorios, Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España.
- 4 Servicio de Cirugía Cardiovascular, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España.
Abstract
We report a case of Pseudomonas monteilii and Acinetobacter nosocomialis endocarditis with a fatal outcome in a patient with a recent history of prosthetic aortic valve replacement. Transesophageal echocardiography and computed tomography confirmed the presence of vegetation on the prosthetic valve and aortic pseudoaneurism with an aortic root abscess. Valve cultures yielded P.monteilii and A.nosocomialis. The patient underwent surgery and received antibiotics, but his condition deteriorated and he died 44days after surgery. To our knowledge, this is the first case of P.monteilii and A.nosocomialis endocarditis reported in the literature. These organisms have been described as environmental contaminants; however, they must be considered potential pathogens, particularly in patients with prosthetic valves.
Keywords:
Acinetobacter; Case report; Caso clínico; Endocarditis; Pseudomonas.
Copyright © 2019 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
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Abscess / microbiology*
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Acinetobacter / isolation & purification
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Acinetobacter Infections / microbiology*
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Aged
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Aneurysm, False / diagnostic imaging
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Aneurysm, False / microbiology
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Aneurysm, Infected / diagnostic imaging
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Aneurysm, Infected / microbiology
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Aortic Aneurysm, Thoracic / diagnostic imaging
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Aortic Aneurysm, Thoracic / surgery
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Aortic Valve Stenosis / surgery
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Endocarditis / microbiology*
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Fatal Outcome
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Heart Valve Prosthesis / microbiology*
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Humans
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Male
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Prosthesis-Related Infections / microbiology*
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Pseudomonas / isolation & purification
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Pseudomonas Infections / microbiology*