Pseudomonas stutzeri prosthetic valve endocarditis: A case report and review of the literature

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Abstract

We report a case of Pseudomonas stutzeri endocarditis in Lebanon. The patient had a recent history of prosthetic aortic valve replacement and presented to the emergency department with fever and chills. Transesophageal echocardiography confirmed the presence of a vegetation on the prosthetic valve and blood cultures yielded P. stutzeri. The patient was treated with surgery and antibiotics but deteriorated and passed away four days after admission. To our knowledge, this is the fifth case of P. stutzeri endocarditis reported in the literature, and the first case with early presentation and mortality. © 2018 The Authors

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Endocarditis, Prosthetic valve, Pseudomonas stutzeri, Aged, Anti-bacterial agents, Aortic valve, Ceftazidime, Chills, Diagnosis, differential, Echocardiography, transesophageal, Endocarditis, bacterial, Heart valve prosthesis, Heart valve prosthesis implantation, Humans, Infusions, intravenous, Male, Postoperative complications, Prosthesis-related infections, Amikacin, Amoxicillin plus clavulanic acid, Aztreonam, Cefepime, Cefotaxime, Ceftriaxone, Ciprofloxacin, Cotrimoxazole, Doxycycline, Gentamicin, Imipenem, Mezlocillin, Penicillin g, Piperacillin plus tazobactam, Tobramycin, Antiinfective agent, Anorexia, Antibiotic therapy, Aortic valve replacement, Article, Auscultation, Blood culture, Case report, Chill, Clinical article, Coronary artery disease, Disease duration, Emergency ward, Fever, General practitioner, Headache, Human, Hypertension, Laboratory test, Lebanon, Leukocyte count, Leukocytosis, Liver function test, Mortality, Phlebitis, Physical examination, Postoperative period, Priority journal, Prosthetic valve endocarditis, Transesophageal echocardiography, Tricuspid valve regurgitation, Adverse device effect, Bacterial endocarditis, Complication, Diagnostic imaging, Differential diagnosis, Heart valve replacement, Induced hypothermia, Infection, Intravenous drug administration, Isolation and purification, Postoperative complication

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