Examinando por Materia "Endocarditis"
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Publicación Acceso abierto Endocarditis infecciosa por Enterococcus faecalis en una niña con derivación ventrículo atrial: Reporte de caso(Asociación Mexicana de Infectología Pediátrica, 2014) Camacho Cruz, Jhon; León Chiquillo, Diana; Espinosa, Fabio; Camacho Moreno, GermánLa endocarditis infecciosa (EI) es la inflamación del endocardio valvular ó parietal causada por microorganismos. Se presenta el caso de una paciente con derivación ventrículo-atrial con fiebre prolongada, bacteremia por Enterococcus faecalis durante seis semanas y ecocardiograma normal, en quien se estableció diagnóstico por criterios de Duke. Se inició tratamiento guiado por antibiograma y requirió exteriorización del sistema de derivación con respuesta clínica satisfactoria.Publicación Acceso abierto Septic embolism: the importance of an adequate clinical approach: a case report, Bogota, Colombia(MedCrave Group, 2016-06) Clavijo Prado, Carlos Andrés; Hernández Reina, Leonardo Fabio; Gicale Adarna, LeilaneNeurological complications of infectious endocarditis have a high prevalence globally and its clinical presentation remains a clinical challenge. A previously healthy 36-year old male presented at the emergency room with persistent fever and headache. The patient was referred to Neurology section after initial diagnostics and treatment. They detected abnormal skin lesions and cardiac murmur. Based on the presentation and abnormal physical examination findings, their impression was an embolic process with infectious etiology prompting medical treatment. Patient was concomitantly referred to Cardiology section and infective endocarditis was confirmed by echocardiogram. Cranial Magnetic Resonance Imaging (MRI) confirmed an ischemic embolic process. Successful surgical treatment followed. This highlights the importance of good clinical history and physical examination as the cornerstone of diagnosis, even for the clinically challenging cases. Good clinical approach and appropriate use of imaging technology greatly benefited the patient by allowing early diagnosis and treatment hence prevention of further complications.