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Infective endocarditis associated with upper endoscopy: case report and review

G S Breuer1, A M Yinnon, J Halevy

  • 1The Department of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel.

The Journal of Infection
|November 20, 1998
PubMed
Summary
This summary is machine-generated.

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Infective endocarditis caused by Staphylococcus capitis occurred in a patient after esophageal dilatation. Despite antibiotic treatment, the patient died, highlighting the need for prophylaxis in high-risk patients undergoing upper endoscopy.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Native valve infective endocarditis is a serious infection.
  • Upper endoscopic procedures carry a risk of bacteremia and subsequent endocarditis.

Observation:

  • A 73-year-old male developed Staphylococcus capitis infective endocarditis following repeated esophageal dilatation.
  • The patient received standard antibiotic therapy but experienced clinical deterioration.

Findings:

  • This case report details a fatal outcome of infective endocarditis linked to esophageal dilatation.
  • A review of 10 prior cases of endocarditis associated with upper endoscopy was conducted.

Implications:

  • Prophylaxis against infective endocarditis should be considered for high-risk patients undergoing invasive upper endoscopic procedures.

Related Experiment Videos

  • Further research is needed to establish optimal prophylactic strategies for patients undergoing esophageal dilatation and other endoscopic interventions.