Cardiac conduction abnormalities preceding transoesophageal echocardiographic evidence of perivalvar extension of infection in a case of salmonella prosthetic valve endocarditis

A 59 year old African-American man developed complete heart block in association with Salmonella enteritidisprosthetic valve endocarditis. Severe cardiac conduction abnormalities signalled the presence of perivalvar extension of infection before development of evidence of abscess by transoesophageal...

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Veröffentlicht in:Heart (British Cardiac Society) 1997-10, Vol.78 (4), p.416-418
Hauptverfasser: Miyamoto, Michael I, Hutter, Adolph M, Blum, Jonathan H, Torchiana, David F
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creator Miyamoto, Michael I
Hutter, Adolph M
Blum, Jonathan H
Torchiana, David F
description A 59 year old African-American man developed complete heart block in association with Salmonella enteritidisprosthetic valve endocarditis. Severe cardiac conduction abnormalities signalled the presence of perivalvar extension of infection before development of evidence of abscess by transoesophageal echocardiography. Cardiac conduction temporarily returned after debridement and aortic homograft placement. This case emphasises the value of electrocardiographic monitoring in the detection of perivalvar extension of infection complicating infective endocarditis, even in the era of sophisticated imaging modalities.
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Severe cardiac conduction abnormalities signalled the presence of perivalvar extension of infection before development of evidence of abscess by transoesophageal echocardiography. Cardiac conduction temporarily returned after debridement and aortic homograft placement. This case emphasises the value of electrocardiographic monitoring in the detection of perivalvar extension of infection complicating infective endocarditis, even in the era of sophisticated imaging modalities.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.78.4.416</identifier><identifier>PMID: 9404262</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Abscesses ; Bacterial diseases ; Bacterial endocarditis, myocarditis and pericarditis. 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Bacterial diseases of the aorta, limb vessels and lymphatic vessels</topic><topic>Biological and medical sciences</topic><topic>Case Report</topic><topic>Diarrhea</topic><topic>Dyspnea</topic><topic>Echocardiography, Transesophageal</topic><topic>Electrocardiography</topic><topic>Emergency medical care</topic><topic>Endocarditis</topic><topic>Endocarditis, Bacterial - diagnostic imaging</topic><topic>Endocarditis, Bacterial - microbiology</topic><topic>Heart</topic><topic>heart block</topic><topic>Heart Block - diagnosis</topic><topic>Heart Block - diagnostic imaging</topic><topic>Heart Block - microbiology</topic><topic>Heart Valve Prosthesis - adverse effects</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pacemakers</topic><topic>Prostheses</topic><topic>Prosthesis-Related Infections - diagnosis</topic><topic>Prosthesis-Related Infections - diagnostic imaging</topic><topic>Prosthesis-Related Infections - microbiology</topic><topic>Salmonella</topic><topic>Salmonella enteritidis</topic><topic>Salmonella Infections - diagnosis</topic><topic>Salmonella Infections - diagnostic imaging</topic><topic>Transplants &amp; implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyamoto, Michael I</creatorcontrib><creatorcontrib>Hutter, Adolph M</creatorcontrib><creatorcontrib>Blum, Jonathan H</creatorcontrib><creatorcontrib>Torchiana, David F</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyamoto, Michael I</au><au>Hutter, Adolph M</au><au>Blum, Jonathan H</au><au>Torchiana, David F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac conduction abnormalities preceding transoesophageal echocardiographic evidence of perivalvar extension of infection in a case of salmonella prosthetic valve endocarditis</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>1997-10-01</date><risdate>1997</risdate><volume>78</volume><issue>4</issue><spage>416</spage><epage>418</epage><pages>416-418</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>A 59 year old African-American man developed complete heart block in association with Salmonella enteritidisprosthetic valve endocarditis. Severe cardiac conduction abnormalities signalled the presence of perivalvar extension of infection before development of evidence of abscess by transoesophageal echocardiography. Cardiac conduction temporarily returned after debridement and aortic homograft placement. This case emphasises the value of electrocardiographic monitoring in the detection of perivalvar extension of infection complicating infective endocarditis, even in the era of sophisticated imaging modalities.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>9404262</pmid><doi>10.1136/hrt.78.4.416</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Abscesses
Bacterial diseases
Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels
Biological and medical sciences
Case Report
Diarrhea
Dyspnea
Echocardiography, Transesophageal
Electrocardiography
Emergency medical care
Endocarditis
Endocarditis, Bacterial - diagnostic imaging
Endocarditis, Bacterial - microbiology
Heart
heart block
Heart Block - diagnosis
Heart Block - diagnostic imaging
Heart Block - microbiology
Heart Valve Prosthesis - adverse effects
Hospitals
Human bacterial diseases
Humans
Infections
Infectious diseases
Male
Medical sciences
Middle Aged
Pacemakers
Prostheses
Prosthesis-Related Infections - diagnosis
Prosthesis-Related Infections - diagnostic imaging
Prosthesis-Related Infections - microbiology
Salmonella
Salmonella enteritidis
Salmonella Infections - diagnosis
Salmonella Infections - diagnostic imaging
Transplants & implants
title Cardiac conduction abnormalities preceding transoesophageal echocardiographic evidence of perivalvar extension of infection in a case of salmonella prosthetic valve endocarditis
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