Endocarditis infecciosa

Autores/as

  • Juan Manuel Sénior Universidad de Antioquia
  • Jairo Alfonso Gándara-Ricardo Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.iatreia.v28n4a11

Palabras clave:

bacteriemia, endocarditis, insuficiencia cardíaca congestiva

Resumen


La endocarditis infecciosa es una enfermedad producida por la colonización y proliferación de agentes infecciosos en la superficie endotelial del corazón. Su presentación clínica es variable pues depende de condiciones propias del hospedero, tales como el estado inmunológico, la presencia de material protésico y el uso de drogas endovenosas, y del agente causal. El diagnóstico se establece, usualmente, mediante la suma de elementos como la historia clínica, el examen físico, los hemocultivos, el ecocardiograma y otras ayudas. Presentamos el caso de un hombre adulto que acudió al hospital con un cuadro clínico de fiebre e insuficiencia cardíaca aguda. Se documentó la presencia de soplo sistólico en el foco aórtico y el ecocardiograma reveló insuficiencia valvular grave y una lesión vegetante sobre la válvula aórtica bicúspide. Requirió reemplazo valvular y completó el tratamiento antibiótico, dirigido por la sensibilidad demostrada, luego de hemocultivos positivos para Streptococcus mitis

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Biografía del autor/a

Juan Manuel Sénior, Universidad de Antioquia

Coordinador del posgrado en Cardiología Clínica y Cardiología Intervencionista y del Grupo para la Investigación de Enfermedades Cardiovasculares, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

Jairo Alfonso Gándara-Ricardo, Universidad de Antioquia

Residente de Cardiología Clínica y miembro del Grupo para la Investigación de Enfermedades Cardiovasculares, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

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Publicado

2015-09-23

Cómo citar

1.
Sénior JM, Gándara-Ricardo JA. Endocarditis infecciosa. Iatreia [Internet]. 23 de septiembre de 2015 [citado 18 de agosto de 2022];28(4):456-71. Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/23499

Número

Sección

Caso clínico de cardiología

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