 |
Case Report
Prosthetic valve endocarditis complicated by an annuloplasty ring abscess due to Escherichia coli treated with antimicrobials only
1 Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan
Address correspondence to:
Hiroshi Shimizu
4-23-15 Kotobashi, Sumida-ku, Tokyo 130-8575,
Japan
Message to Corresponding Author
Article ID: 101254Z01HS2021
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Shimizu H, Sugiyama K, Hamabe Y. Prosthetic valve endocarditis complicated by an annuloplasty ring abscess due to Escherichia coli treated with antimicrobials only. Int J Case Rep Images 2021;12:101254Z01HS2021.ABSTRACT
Introduction: Prosthetic valve endocarditis caused by Escherichia coli is a rare disease. Because an abscess is a common complication of infective endocarditis (IE), most patients require surgical treatment in addition to antimicrobial treatment. We reported a patient with prosthetic valve endocarditis due to E. coli complicated by annuloplasty ring abscess and was treated with antimicrobials only, without surgical intervention.
Case Report: A 72-year-old man was brought to our hospital with consciousness disorder. He had prosthetic valve endocarditis due to E. coli complicated by annuloplasty ring abscess, with bilateral thalamic and brainstem infarcts. He was treated with antimicrobials and regular echocardiography. Vegetation and abscess decreased gradually with antimicrobials only, without surgical intervention. Antimicrobial treatment was completed in eight weeks, on day 57, he was transferred to the family hospital for rehabilitation.
Conclusion: Prosthetic valve endocarditis caused by E. coli often has an abscess. It is possible to treat it with antimicrobials alone if it is monitored closely with echocardiography in the ICU.
Keywords: Abscess, Antimicrobials, Endocarditis, Escherichia coli
SUPPORTING INFORMATION
Author Contributions
Hiroshi Shimizu - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Kazuhiro Sugiyama - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Yuichi Hamabe - Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Hiroshi Shimizu et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
