%0 Journal Article
%T Providencia stuartii Aortic Prosthetic Valve Endocarditis with Formation of Paravalvular Pseudoaneurysm | Insight Medical Publishing
%A Furtado In¨ºs
%A Gon£¿alves Celina
%A Lopes Juliana
%A Machado Ana
%A Mendon£¿a Teresa
%A Neves Jo£¿o
%J Related Journals of Diabetes Case Repors
%D 2018
%R 10.21767/2471-8041.100113
%X Infective endocarditis (IE) is characterized by high morbidity and mortality. Providencia stuartii infections are very rare and mainly acquired in a hospital setting, being isolated primarily in urine cultures of patients with longterm urinary catheters; rarely causing bacteremia and endocarditis. The authors present a case of a 74-year-old male patient with vascular risk factors and a biological aortic prosthetic valve hospitalized for urosepsis with P. stuartii bacteremia. He underwent antibiotic susceptibility-guided therapy, resulting in both negative urine and blood cultures. However, the patient was later re-admitted due to persistent P. stuartii urosepsis and bacteremia. A transesophageal echocardiogram revealed endocarditis of the prosthetic aortic valve, complicated with extensive aortic root pseudoaneurysm, fistulized into the left atrium. Given the co-comorbidities and extent of the disease, he was not a candidate for surgical intervention and therefore maintained broad-spectrum antibiotic therapy. Unfortunately, the patient didn¡¯t respond to best medical treatment and died of septic shock.
%U http://medical-case-reports.imedpub.com/providencia-stuartii-aortic-prosthetic-valve-endocarditis-with-formation-of-paravalvular-pseudoaneurysm.php?aid=23521