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pubmed-article:20097530rdf:typepubmed:Citationlld:pubmed
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pubmed-article:20097530pubmed:issue7lld:pubmed
pubmed-article:20097530pubmed:dateCreated2010-7-12lld:pubmed
pubmed-article:20097530pubmed:abstractTextThe authors report the occurrence of infective endocarditis in a 32-year-old man with a ventricular septal defect and a left ventricular-to-right-atrial shunt who adhered to the revised 2007 American Heart Association guidelines for infective endocarditis. The patient had received antibiotic prophylaxis prior to multiple previous dental procedures. At a recent dental evaluation for fillings, he was informed that he no longer needed prophylaxis. Fatigue and fevers developed 1 week later, and he was treated with an oral course of ciprofloxacin. The symptoms recurred, and blood cultures grew Streptococcus viridans. A 7-mm vegetative mass was seen on the septal leaflet of the tricuspid valve during transesophageal echocardiography. This report raises the concern that patients with ventricular septal defects and left ventricular-to-right-atrial shunts are at higher risk for endocarditis and may require antibiotic prophylaxis.lld:pubmed
pubmed-article:20097530pubmed:languageenglld:pubmed
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pubmed-article:20097530pubmed:issn1097-6795lld:pubmed
pubmed-article:20097530pubmed:authorpubmed-author:KlewerScott...lld:pubmed
pubmed-article:20097530pubmed:authorpubmed-author:LaxDanielaDlld:pubmed
pubmed-article:20097530pubmed:authorpubmed-author:SorrellVincen...lld:pubmed
pubmed-article:20097530pubmed:authorpubmed-author:BhattRajan...lld:pubmed
pubmed-article:20097530pubmed:copyrightInfoCopyright (c) 2010 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.lld:pubmed
pubmed-article:20097530pubmed:issnTypeElectroniclld:pubmed
pubmed-article:20097530pubmed:volume23lld:pubmed
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pubmed-article:20097530pubmed:pagination791.e5-7lld:pubmed
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pubmed-article:20097530pubmed:year2010lld:pubmed
pubmed-article:20097530pubmed:articleTitleAre all ventricular septal defects created equal?lld:pubmed
pubmed-article:20097530pubmed:affiliationDepartment of Pediatrics and the Steele Children's Research Center, Division of Pediatric Cardiology, University of Arizona, Tucson, Arizona 85724-5073, USA. dlax@peds.arizona.edulld:pubmed
pubmed-article:20097530pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:20097530pubmed:publicationTypeCase Reportslld:pubmed