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- W2029384659 abstract "severe AR, left ventricular systolic dysfunction and ectasia of the SV. She was managed with vasopressors, diuretics and captopril. A chest tomograph scan showed pulmonary apical images highly suggestive of TB. Family history revealed that her father had been treated for pulmonary TB the previous year. Patient sputa were negative for acid fast bacilli. Rifampin, isoniazid and pyrazinamide were started and she was discharged 3 weeks after admission. She returned 2 weeks later, with acute HF. A transesophageal echocardiogram showed worsened AR and an aneurysm of the SV. She was operated for aortic valve replacement and SV aneurysm resection. In the immediate post operative period she developed refractory cardiogenic shock and died 48 hours later. Sputum culture grew Mycobacterium tuberculosis. Valve histopathology showed valvulitis with a lymphocityc infiltrate. Conclusion: This case report illustrates that in a highly endemic area for TB, this etiology must be thought of in cases of VS aneurysms and acute aortic insufficiency, even if the patient has no systemic symptoms of infection." @default.
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- W2029384659 date "2009-06-01" @default.
- W2029384659 modified "2023-09-27" @default.
- W2029384659 title "122 ALCALIGENES XYLOSOXIDANS MITRAL NATIVE VALVE ENDOCARDITIS SECONDARY TO CATHETER-RELATED BACTERAEMIA ONE YEAR BEFORE" @default.
- W2029384659 doi "https://doi.org/10.1016/s0924-8579(09)70141-4" @default.
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