Endocarditis infecciosa izquierda por Pseudomonas aeruginosa tratada médicamente

Karen Melissa Ordóñez, Odismar Andrea Hernández, Jorge Alberto Cortés, María José López, Gladys Alfonso, Alejandro Junca, .

Palabras clave: endocarditis, Pseudomonas aeruginosa, válvula aórtica, embolia, terapia combinada, mortalidad

Resumen

La endocarditis infecciosa por Pseudomonas aeruginosa es una entidad poco frecuente, de difícil diagnóstico y alta mortalidad. Se presenta a continuación el caso de un hombre de 51 años, sin antecedentes de uso de drogas intravenosas ni enfermedad valvular, con antecedentes de colecistectomía en el mes anterior, quien se presentó a urgencias con un cuadro febril asociado a síntomas gastrointestinales, y, posteriormente mostró signos de embolismo a distancia, hemocultivos positivos para P. aeruginosa y desarrollo de múltiples complicaciones propias de la enfermedad.
La presentación clínica de la endocarditis infecciosa es inespecífica, lo cual genera diagnósticos tardíos que impiden la instauración de un tratamiento precoz y eficaz, como el reemplazo valvular, indicado en endocarditis por hongos o por gérmenes como P. aeruginosa. Este caso es fortuito por su resolución solamente con tratamiento médico combinado, con amikacina y meropenem, ya que tuvo varias complicaciones que contraindicaron el manejo quirúrgico.

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  • Karen Melissa Ordóñez Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Odismar Andrea Hernández Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Jorge Alberto Cortés Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • María José López Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Gladys Alfonso Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
  • Alejandro Junca Departamento de Medicina Interna, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, D.C., Colombia

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Cómo citar
1.
Ordóñez KM, Hernández OA, Cortés JA, López MJ, Alfonso G, Junca A. Endocarditis infecciosa izquierda por Pseudomonas aeruginosa tratada médicamente. biomedica [Internet]. 4 de agosto de 2010 [citado 28 de marzo de 2024];30(2):164-9. Disponible en: https://revistabiomedica.org/index.php/biomedica/article/view/179

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