| A Case of Infective Endocarditis
and Osteomyelitis |
(Department of Surgery, Division of Cardiovascular
Surgery, Jichi Medical School, Tochigi, Japan)
| Yasuhiro Tezuka |
Hiroaki Konishi |
Yoshio Misawa |
| Katsuo Fuse |
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A 53-year-old man was admitted to
Jichi Medical School Hospital because of low back pain and respiratory
distress. Echocardiography revealed mitral valve regurgitation
and mitral vegetations, and MR imaging showed destructive change
in the lumbar vertebrae. The low back pain and inflammatory activity
subsided with administration of antibiotics, but regurgitation-induced
heart failure was medically intractable. The patient underwent
mitral valve replacement with a bicarbon valve. The mitral valve
showed destructive change with infective vegetation. Microbiologic
study of preoperative blood samples and resected valve did not
show any organism. Antibiotics were given for another 6 weeks.
As of the last follow-up observation at 18 months, the patient
was doing well.
Jpn. J. Cardiovasc. Surg. 31：353-355 (2002) |
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