Case Study FollowUp

Laboratory data revealed leukocytosis, normal hematocrit, and mildly elevated liver enzymes. Urinalysis showed 6-10 RBCs per high-power field and no active urinary sediment. Three of six blood cultures grew Gram-positive cocci. The organism was difficult to identify and the culture was referred to the Federal Reference Laboratory for characterization.

The chest x-ray was normal. The electrocardiogram revealed sinus rhythm with a normal PR interval. A CT scan of the abdomen revealed splenic infarcts and possible renal infarcts. TTE revealed mechanical aortic valve stenosis a mean aortic systolic gradient was 46 mm Hg and the calculated valve area was 0.9 cm2. The left ventricular ejection fraction was normal at 67%. A large mass was suspected on the mechanical aortic valve and was confirmed by TEE, which revealed a mobile mass measuring 4 x 5 mm consistent with a vegetation. There was no evidence of perianular abscess formation.

The patient was treated with vancomycin for six weeks and gentamicin for two weeks. A cardiac surgical consultant recommended completion of antiobiotic therapy and subsequent replacement of the aortic valve prosthesis.

All Natural Yeast Infection Treatment

All Natural Yeast Infection Treatment

Ever have a yeast infection? The raw, itchy and outright unbearable burning sensation that always comes with even the mildest infection can wreak such havoc on our daily lives.

Get My Free Ebook

Post a comment