Browsing by Author "Parra Lozada, Laura Alejandra"
Now showing 1 - 1 of 1
Results Per Page
Sort Options
Item Endocarditis infecciosa por Streptococo gallolyticus tipo: pasteurianus en un paciente de 13 años: caso clínico(Universidad Santiago de Cali, 2023) Londoño Ospina, Lisa Manuela; Parra Lozada, Laura Alejandra; Guzmán Sandoval, Juan Camilo; Salcedo Libreros, Luis Felipe (Director)Introduction: infective endocarditis (IE) is an inflammatory and infectious process that affects the endocardium, predominantly at the valvular level, secondary to bacterial or fungal hematogenous colonization, its clinical expression is variable, depending on the extent of local heart disease, degree affectation to other organs and causal agent; The diagnosis is established through the clinical history, physical examination, blood cultures, laboratory tests, and echocardiogram with subsequent identification of the microorganism and initiation of specific and targeted antibiotic treatment. Objective: To describe the clinical case of an adolescent patient with infective endocarditis due to streptococcus gallolyticus, a microorganism that only causes 7% of IE cases, with characteristic clinical criteria of the disease. Clinical case: The case of a 13-year-old male patient is presented, who was admitted to the emergency department on June 9, 2022 due to a clinical picture of 5 days of evolution consisting of temperature rises quantified at approximately 39ºC, cervical pain, headache intense and paresthesia in the lower limbs, associated with changes in the state of consciousness, a transthoracic echocardiogram was performed, which revealed emboli in the aortic valve, bileaflet aorta with data suggestive of severe insufficiency with a high probability of systemic embolism and secondary severe aortic insufficiency. start antibiotic treatment with ceftriaxone 1.5 g every 12 hours diluted in 10cc of saline solution and gentamicin 120 mg every 8 hours depending on sensitivity and isolated microorganism, Streptococcus gallolyticus pasteurianus.