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