| A Surgical Case of
Infective Endocarditis Caused by Salmonella enteritidis |
(Second Department of Surgery, Faculty of Medicine,
Kagoshima University, Kagoshima, Japan)
| Mamoru Kaieda |
Yukinori Moriyama |
Riichiro Toda |
| Yoshifumi Iguro |
Akira Taira |
|
|
A 40-year-old woman presented with
Salmonella enteritidis endocarditis involving the mitral valve.
A severe degree of congestive heart failure developed despite
appropriate medical and antibiotic treatment, and resulted in
urgent surgical intervention in the active phase of the infection.
She underwent successful mitral valve replacement with a mechanical
valve, followed by additional antibiotic infusion with adequate
distribution to the biliary system to prevent late reactivation
of the organism. Although antibiotic therapy is fairly effective
for patients with Salmonella enteritidis, early rather than procrastinated
surgical treatment is recommended to minimize damage to the valve
and surrounding structures.
Jpn. J. Cardiovasc. Surg. 29: 83-86 (2000) |
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