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Salmonella prosthetic valve endocarditis. A case report

Y H Lee¹, L P Lai, K G Shyu

¹Department of Internal Medicine, National Taiwan University Hospital, Taipei, R.O.C.

|March 1, 1994

Summary

Salmonella prosthetic valve endocarditis is a rare and severe infection. Early surgical intervention is recommended for patients with recurrent fever during medical treatment.

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Area of Science:

Infectious Diseases
Cardiology
Surgical Innovation

Background:

Prosthetic valve endocarditis (PVE) poses significant clinical challenges.
Salmonella species are an uncommon cause of PVE, with limited case reports.

Observation:

A case of Salmonella prosthetic valve endocarditis in a patient with a Björk-Shiley mechanical mitral valve is presented.
Diagnosis was confirmed via positive blood cultures and transesophageal echocardiography revealing vegetation.

Findings:

This report adds to the scarce literature on Salmonella PVE, with only five previously reported cases.
The infection followed a malignant clinical course.

Implications:

Early surgical intervention should be strongly considered for Salmonella PVE.

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Prompt surgical management may be crucial, particularly in patients experiencing recurrent fever despite medical therapy.