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Revista Uruguaya de Cardiología
versión impresa ISSN 0797-0048versión On-line ISSN 1688-0420
Resumen
SOCA, Gerardo; LORENTE, Macarena; CUBAS, Santiago y DAYAN, Víctor. Infectious endocarditis to Staphylococcus caprae with multiple severe preoperative embolisms and residual giant mitral vegetation. Rev.Urug.Cardiol. [online]. 2019, vol.34, n.2, pp.189-203. Epub 01-Ago-2019. ISSN 0797-0048. https://doi.org/10.29277/cardio.34.2.15.
Infective endocarditis is an infrequent disease, heterogeneous presentation, with high mortality, and frequent indication of heart surgery. We introduce the case of a young woman, with S. caprae infective endocarditis, and multiple preoperative serious emboli. Since she presents at admission with infection in progress, splenic abscess and mitral vegetation with high embolic risk, it poses a therapeutic dilemma regarding surgical opportunity and the order in which the complications should be resolved. In this case we proceeded to vascular surgery, then splenectomy and finally valve surgery, all in a short time, to solve the pathology integrally and without complications.
Palabras clave : Endocarditis, bacterial; Staphylococcus caprae; Abscess.