Infective endocarditis in a child caused by Cardiobacterium hominis after right ventricular outfl ow tract reconstruction using an expanded tetrafl uoroethylene conduit
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Yoshiyuki Maekawa, MD · Takahiko Sakamoto, MD Kentaroh Umezu, MD · Noburoh Ohashi, MD Yorikazu Harada, MD
- چاپ و سال / کشور: 2011
Description
Cardiobacterium hominis, a member of the HACEK group of organisms, is a rare cause of endocarditis. We report a case of infective endocarditis caused by C. hominis in a male child who had undergone right ventricular outfl ow tract (RVOT) reconstruction using an expanded polytetrafl uoroethylene conduit for tetralogy of Fallot with pulmonary atresia. Two days before admission, the patient suffered from exertional shortness of breath. Right ventricular hypertension was confi rmed and RVOT stenosis was suspected based on the echocardiography fi ndings. A CT scan revealed vegetation above the cusp of the conduit. An emergency operation was performed to avoid a pulmonary embolism due to large friable vegetation. C. hominis was cultured from the blood and the vegetation, prompting a diagnosis of prosthetic valve endocarditis. The patient was discharged after a 6-week course of intravenous ceftriaxone therapy
Gen Thorac Cardiovasc Surg (2011) 59:429–432 DOI 10.1007/s11748-010-0707-7 Received: 31 May 2010 / Accepted: 1 September 2010
