التفاصيل البيبلوغرافية
| العنوان: |
Pulmonary embolism in infective endocarditis associated with pacemaker: report of a case and review of the literature ; Embolia pulmonar en endocarditis infecciosa asociada a marcapasos: reporte de un caso y revisión de la literatura |
| المؤلفون: |
Pérez Baztarrica, Gabriel, Tripicchio, Gabriela, Solorzano Berrospi, Paul, Castro Orozco, Luís Gabriel, Chiriboga, Nadia Juliana, Chamorro Ortega, Robert, Maldonado Cubas, Edian, Gallardo Astudillo, Diego, Rocha Zamora, Jessica, Pérez Pérez, Jaime |
| المصدر: |
Anales of the Faculty of Medical Sciences; Vol. 56 No. 2 (2023): ANALES of the Faculty of Medical Sciences; 102-108 ; Anales de la Facultad de Ciencias Médicas; Vol. 56 Núm. 2 (2023): ANALES de la Facultad de Ciencias Médicas; 102-108 ; 2313-2841 ; 1816-8949 |
| بيانات النشر: |
EFACIM |
| سنة النشر: |
2023 |
| المجموعة: |
Universidad Nacional de Asunción: Revista Cientificas Arbitradas |
| مصطلحات موضوعية: |
endocarditis infecciosa, marcapasos, catéter, extracción percutánea, embolia pulmonar, infective endocarditis, pacemaker, catheter, percutaneous extraction, pulmonary embolism |
| الوصف: |
Introduction: One of the most feared infective endocarditis (IE) complications associated with pacemaker is pulmonary embolism. We present the case of a patient with a current diagnosis of pacemaker-associated IE who presented symptoms of pulmonary embolism confirmed by imaging studies after percutaneous removal of the device. Objectives: to know the management and evolution, in-hospital and at 18 months of pulmonary embolism in the context of infective endocarditis associated with pacemaker. Materials and methods: Bibliographic search carried out in PubMed. Clinical case report: clinical evaluation, presentation of complementary studies, and treatment. Follow up on the case. Results: 68-year-old patient with a history of dual chamber permanent pacemaker implantation 2 years ago. Prolonged febrile syndrome with no apparent focus, with positive blood cultures for methicillin-resistantStaphylococcus aureus. The transesophageal echocardiogram showed multiple vegetations associated in right atrial with the catheters. Based on the history, physical examination, and findings in specific tests, the diagnosis of IE associated with DEIP could be achieved. Antibiotic treatment and complete percutaneous removal of the device were indicated. After the procedure, he presented sudden dyspnea, confirming the diagnosis of pulmonary embolism in a ventilation-perfusion scintigram study. She completed the antibiotic treatment (vancomycin for 6 weeks) and was discharged. During follow-up, there were no new infections or other complications. Conclusion: in our patient pulmonary embolism did not generate changes in in-hospital morbidity and mortality or in the 18-month follow-up. ; Introducción: Una de las complicaciones más temidas de la endocarditis infecciosa (EI) asociada a marcapasos es la embolia pulmonar. Presentamos el caso de una paciente con diagnóstico actual de EI asociada a marcapasos, que luego de la extracción del dispositivo por vía percutánea presentó síntomas de embolia pulmonar confirmada mediante estudios por ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
Spanish; Castilian |
| Relation: |
https://revistascientificas.una.py/index.php/RP/article/view/3677/3047; https://revistascientificas.una.py/index.php/RP/article/view/3677 |
| الاتاحة: |
https://revistascientificas.una.py/index.php/RP/article/view/3677 |
| رقم الانضمام: |
edsbas.8084FCEF |
| قاعدة البيانات: |
BASE |