Zusammenfassung
Aortenklappenendokarditis durch Abiotrophia defectiva ist ein seltene Ursache der bakteriellen Endokarditis. Diese Entität ist neben häufig negativen Blutkulturen durch eine schwierige Behandlung, hohe Rezidivraten und höhere Sterblichkeit als die Endokarditiden durch die anderen Viridans-Streptokokken gekennzeichnet. Wir präsentieren hier die medikamentöse und chirurgische Therapie einer Aortenklappenendokarditis durch Abiotrophia defectiva bei einem 19-Jahre alten Patienten. Dieser Fall ist nach unserer Kenntnis der erste Fall einer Aortenklappenendokarditis durch Abiotrophia defectiva bei einem Patienten mit Down Syndrom, der mit einem Aortenklappenersatz behandelt wurde.
Summary
Abiotrophia defectiva is a rare cause of infective endocarditis. Besides an association with often negative blood cultures and difficult treatment, high rates of relapse and higher mortality than endocarditis caused by other viridans streptococci are known features of this entity. We report on the surgical and medical management of the aortic valve endocarditis caused by Abiotrophia defectiva in a 19-year-old patient. To the best of our knowledge, this is the first case of a patient to have Down syndrome and Abiotrophia defectiva endocarditis requiring aortic valve replacement.
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Yerebakan, C., Westphal, B., Skrabal, C. et al. Aortic valve endocarditis due to abiotrophia defectiva: a rare etiology. Wien Med Wochenschr 158, 152–155 (2008). https://doi.org/10.1007/s10354-008-0514-2
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DOI: https://doi.org/10.1007/s10354-008-0514-2