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Endocarditis por Abiotrophia defectiva complicada con accidente cerebrovascular y osteomielitis espinal

Kevyn Niu1, Yizhi Lin1

  • 1Internal Medicine, Hospital Corporation of America (HCA) Florida Blake Hospital, Bradenton, USA.

Cureus
|April 25, 2024
PubMed

Un hombre de 67 años con antecedentes de enfermedad arterial coronaria y estenosis aórtica tras un reemplazo valvular aórtico (AVR) y un bypass de arteria coronaria (CABG) acudió por presentar, durante los últimos dos días, mareos y caídas frecuentes. Inicialmente, se encontró un infarto subagudo del lóbulo temporal izquierdo, osteomielitis de la columna lumbar y una vegetación en la válvula aórtica. Estudios posteriores revelaron bacteriemia por bacterias grampositivas y, finalmente, el microorganismo causal fue identificado comoAbiotrophia defectiva. Fue tratado con penicilina y gentamicina en el entorno hospitalario y luego dado de alta con ceftriaxona intravenosa (IV) ambulatoria para completar el resto del curso antibiótico de cuatro semanas. No presentó complicaciones tras iniciar la terapia y se recuperó. Deseamos concienciar sobre la existencia y las complicaciones que pueden derivarse deA. defectivala endocarditis y fomentar investigaciones adicionales sobre tratamientos antibióticos eficaces.A. defectivala endocarditis puede provocar secuelas infecciosas neurológicas y ortopédicas; comprensión y conocimiento deAbiotrophiaLas infecciones por spp. son importantes para garantizar un tratamiento eficaz de la endocarditis.

Palabras clave:
abiotrofiaaccidente cerebrovascular agudoantibióticosendocarditisosteomielitis

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