Medicina - Palmira

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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)
Infective Endocarditis (IE) is an inflammatory and infectious process of the endocardium, primarily valvular, caused by hematogenous colonization, whose diagnosis is established through clinical presentation, blood cultures, and echocardiogram to identify the microorganism and initiate specific antibiotic treatment. The objective of this report is to describe the case of a 13-year-old male adolescent who presented with a five-day history of high fever, neck pain, severe headache, paresthesia, and altered consciousness. A transthoracic echocardiogram revealed emboli on a bicuspid aortic valve, suggesting severe insufficiency and high risk of systemic embolism. The diagnosis of IE due to Streptococcus gallolyticus pasteurianus, a causative microorganism in only 7% of IE cases, was confirmed, and antibiotic treatment with ceftriaxone and gentamicin was initiated.