Moussa Yasmin, Moussa Mohamed, Chakra Mohamed Abou
Clinic of Dermatology, Dr. Brinkmann, Schult & Samimi-Fard, Barbarastraße 15, 45964 Gladbeck, Germany.
Head of Urology Department, Zahra Hospital, University Medical Center, Lebanese University, Beirut, Lebanon.
IDCases. 2020 Jan 29;19:e00708. doi: 10.1016/j.idcr.2020.e00708. eCollection 2020.
Prosthetic valve endocarditis (PVE) is a catastrophic complication of cardiac valve replacement, associated with high mortality rates. Staphylococci (both ) are the most common cause of PVE. Diagnosis may often be difficult because of its complications and extracardiac manifestations. Positive blood and valve cultures are one of the most important diagnostic criteria for IE. Transesophageal echography should be performed without delay in all patients suspected to have PVE. As for treatment, according to the guidelines sensitive antimicrobials should be administered for 6 weeks. Surgery is recommended in case of PVE complicated by heart failure, severe prosthetic dysfunction, abscess or persistent fever. We present a case of PVE after transurethral resection of the prostate in a 63-year-old male patient with a history of mitral valve replacement. The patient was treated by appropriate antimicrobials for 6 weeks and recovered completely.
人工瓣膜心内膜炎（PVE）是心脏瓣膜置换术后的一种灾难性并发症，死亡率很高。葡萄球菌（两者皆是）是PVE最常见的病因。由于其并发症和心外表现，诊断往往很困难。血培养和瓣膜培养阳性是感染性心内膜炎（IE）最重要的诊断标准之一。对于所有疑似患有PVE的患者，应立即进行经食管超声心动图检查。至于治疗，根据指南，应给予敏感抗菌药物治疗6周。如果PVE并发心力衰竭、严重人工瓣膜功能障碍、脓肿或持续发热，建议进行手术治疗。我们报告一例63岁男性患者，有二尖瓣置换病史，在经尿道前列腺切除术后发生PVE。该患者接受了适当的抗菌药物治疗6周，完全康复。
