Skip to content

Advertisement

  • Poster presentation
  • Open Access

Infectious endocarditis: interdisciplinarity or dual responsibility?

  • 1Email author,
  • 2,
  • 2,
  • 1,
  • 1,
  • 1,
  • 2 and
  • 1
BMC Infectious Diseases201414 (Suppl 7) :P37

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

  • Published:

Keywords

  • Tuberculosis
  • Vancomycin
  • Aortic Valve
  • Blood Culture
  • Endocarditis

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

Authors’ Affiliations

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

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.

Advertisement