<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0420</journal-id>
<journal-title><![CDATA[Revista Uruguaya de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Urug.Cardiol.]]></abbrev-journal-title>
<issn>1688-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Uruguaya de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-04202019000200189</article-id>
<article-id pub-id-type="doi">10.29277/cardio.34.2.15</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Endocarditis infecciosa a Staphylococcus caprae con múltiples embolias preoperatorias graves y vegetación mitral gigante residual]]></article-title>
<article-title xml:lang="en"><![CDATA[Infectious endocarditis to Staphylococcus caprae with multiple severe preoperative embolisms and residual giant mitral vegetation]]></article-title>
<article-title xml:lang="pt"><![CDATA[Endocardite infecciosa para Staphylococcus caprae com múltiplos embolismos pré-operatórios severos e vegetação mitral gigante residual]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soca]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorente]]></surname>
<given-names><![CDATA[Macarena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cubas]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dayan]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cirugía Cardíaca (INCC)  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>34</volume>
<numero>2</numero>
<fpage>189</fpage>
<lpage>203</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-04202019000200189&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-04202019000200189&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-04202019000200189&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La endocarditis infecciosa (EI) es una enfermedad infrecuente, heterogénea en su presentación, con una alta mortalidad global y frecuente indicación de cirugía cardíaca. Presentamos el caso de una joven con EI a S. caprae y múltiples embolias preoperatorias graves. Dado que se presenta al ingreso con infección en curso, absceso esplénico y vegetación remanente de muy alto riesgo embólico, plantea un dilema terapéutico en cuanto a oportunidad quirúrgica y orden en que deben resolverse las complicaciones de su enfermedad infecciosa. En este caso se procedió a cirugía vascular, posteriormente esplenectomía y por último cirugía valvular, todas en breve plazo, logrando resolver la patología integralmente y sin complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary: 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A endocardite infecciosa é uma doença infrequente, de apresentação heterogênea, com alta mortalidade e frequente indicação de cirurgia cardíaca. Apresentamos o caso de uma jovem mulher com endocardite infecciosa a S. caprae e múltiplos êmbolos pré-operatórios graves. Por se apresentar na admissão com infecção em curso, abscesso esplênico e vegetação mitral com alto risco embólico, apresenta um dilema terapêutico em relação à oportunidade cirúrgica e a ordem em que as complicações devem ser resolvidas. Neste caso precedeu à cirurgia vascular, depois à esplenectomia e finalmente à cirurgia valvar, tudo em um curto espaço de tempo, para resolver integralmente a patologia e sem complicações.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Endocarditis bacteriana]]></kwd>
<kwd lng="es"><![CDATA[Staphylococcus caprae]]></kwd>
<kwd lng="es"><![CDATA[Absceso]]></kwd>
<kwd lng="en"><![CDATA[Endocarditis, bacterial]]></kwd>
<kwd lng="en"><![CDATA[Staphylococcus caprae]]></kwd>
<kwd lng="en"><![CDATA[Abscess]]></kwd>
<kwd lng="pt"><![CDATA[Endocardite bacteriana]]></kwd>
<kwd lng="pt"><![CDATA[Staphylococcus caprae]]></kwd>
<kwd lng="pt"><![CDATA[Abscesso]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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