Volume 14 Supplement 7

Proceedings of the 10th Edition of the Scientific Days of the National Institute for Infectious Diseases "Prof Dr Matei Bals"

Open Access

Infectious endocarditis: interdisciplinarity or dual responsibility?

  • Voichița Lăzureanu1Email author,
  • Ciprian Gandac2,
  • Teodora Moisil2,
  • Virgil Musta1,
  • Narcisa Nicolescu1,
  • Ruxandra Laza1,
  • Oana Plavitu2 and
  • Alexandru Crişan1
BMC Infectious Diseases201414(Suppl 7):P37

https://doi.org/10.1186/1471-2334-14-S7-P37

Published: 15 October 2014

Background

Infectious endocarditis remains – due to its clinical polymorphism – a disease that is sometimes late diagnosed.

Case report

We present a man, 56 years, admitted in our department for tuberculous (TB) meningoencephalitis (history of pulmonary tuberculosis, symptoms: fever, dizziness, sleepy, difficulty in speaking and walking; in the CSF proteins=62.1 mg/dL, 17 lymphocytes/cmm, chest X-ray: nodular opacity in the upper left lobe, reticulo-nodular image bilaterally, pneumologist consult: pulmonary tuberculosis, secondary infiltrative nodular upper left lobe) with favorable evolution under treatment with: meropenem 2 g Q8h + category II 7/7 TB drugs. After 7 days from admission the blood culture tested positive for Streptococcus gallolyticus (BACTEC). The second cardiac examination revealed during transthoracic echography a 1.8 cm vegetation on the aortic valve. We switched to vancomycin 1g Q12h plus tuberculostatics. Cardiac surgery consult recommends 4 weeks of treatment with vancomycin and then probably surgical intervention.

Conclusion

The laboratory has a very important role in the diagnosis of infectious diseases. A close contact with cardiologists has to be established in order to have carefully investigated patients.

Consent

Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor of this journal.

Authors’ Affiliations

(1)
Dr. Victor Babeş University of Medicine and Pharmacy
(2)
Dr. Victor Babeş Clinical Hospital of Infectious Diseases and Pneumology

Copyright

© Lăzureanu et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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