Late prosthetic valve endocarditis with Mycobacterium tuberculosis after the Bentall procedure View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

Qianqian Liu, Jialin Jin, Lingyun Shao, Shanshan Weng, Ju Zhou, Feng Li, Wenhong Zhang, Xinhua Weng, Yan Gao

ABSTRACT

BACKGROUND: Prosthetic valve endocarditis (PVE) is a rare but severe complication of valve replacement surgery, with an incidence rate of 0.3-1.2% per patient-year. At present, staphylococci are the predominant causative microorganism of PVE. Herein, we report a confirmed case of late PVE in a mechanical aortic valve caused by Mycobacterium tuberculosis. CASE PRESENTATION: A 32-year-old immunocompetent man with recurrent fever and 5-kg weight loss had a history of having undergone the Bentall procedure due to congenital heart disease. Nine years after the operation, he developed a paravalvular abscess in the mechanical aortic valve, presented with evidence of pulmonary tuberculosis on CT scan and was diagnosed with tuberculous endocarditis. This case report highlights a rare and non-negligible example of tuberculous endocarditis involving a mechanical valve. CONCLUSIONS: Tuberculous PVE should be considered in patients with a history of valve replacement, recurrent fever, unexplained weight loss, pulmonary tuberculosis and meaningful valvular findings on echocardiogram. More... »

PAGES

15

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12941-019-0314-0

DOI

http://dx.doi.org/10.1186/s12941-019-0314-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1113059230

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30922382


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