Moreno-Martínez FL, Gómez GJA, Portela F, González GRS

Language: Spanish
References: 0
Page: 219-220
PDF size: 428.66 Kb.

Text Extraction

The case report describes a 62-year-old man with mechanical prosthetic aortic valve implanted in 2014 due to severe bicuspid aortic valve stenosis who had a traffic accident resulting in open fractured pelvis and requiring surgical treatment. On discharge, he showed symptoms of phlebitis related to left upper limb venipuncture, reason why antibiotic treatment was initiated; but presented with fever of 38.5 ºC, accompanied by asthenia and general malaise, with edema in the affected limb. A Duplex ultrasound ruled out possible deep venous thrombosis and treatment was readjusted; but symptoms worsened (dyspnea, orthopnea and general deterioration of health) so paired blood culture samples were taken three weeks after the onset of fever; evidencing growth of methicillin-sensitive Staphylococcus aureus. Therefore, on suspicion of prosthetic valve endocarditis, his hospital admission was scheduled.