Source:http://linkedlifedata.com/resource/pubmed/id/16249631
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
2005-10-26
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pubmed:abstractText |
A 36-year-old, 7-week-gravida patient with catheter-related nosocomial infective endocarditis due to methicillin-resistant Staphylococcus aureus (MRSA) is presented in this paper. The patient was admitted to our hospital because of carbon monoxide intoxication. After 14 days, MRSA catheter-related bacteremia developed. The central venous catheter was immediately removed, and teicoplanin therapy was started. Because of persistent fever, leukocytosis, and high C-reactive protein values, endocarditis was suspected. A transesophageal echocardiogram revealed 19-mm vegetation on her mitral valve, confirming the diagnosis of endocarditis. Gentamicin and rifampicin were added to the therapy regimen, and the dose of teicoplanin was increased to 12 mg/kg-day. After 8 days, a splenic abscess was detected by ultrasonography. Vegetation excision, mitral valve replacement by open-heart surgery and splenectomy were performed in the same operation. Antibiotherapy was continued for 6 weeks after surgery, and the patient's condition improved. The development of endocarditis could be prevented by proper clinical practices.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1344-6304
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
58
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
323-5
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pubmed:meshHeading |
pubmed-meshheading:16249631-Abscess,
pubmed-meshheading:16249631-Adult,
pubmed-meshheading:16249631-Bacteremia,
pubmed-meshheading:16249631-Catheterization, Central Venous,
pubmed-meshheading:16249631-Cross Infection,
pubmed-meshheading:16249631-Endocarditis, Bacterial,
pubmed-meshheading:16249631-Female,
pubmed-meshheading:16249631-Humans,
pubmed-meshheading:16249631-Methicillin Resistance,
pubmed-meshheading:16249631-Pregnancy,
pubmed-meshheading:16249631-Pregnancy Complications, Infectious,
pubmed-meshheading:16249631-Splenic Diseases,
pubmed-meshheading:16249631-Staphylococcal Infections
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pubmed:year |
2005
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pubmed:articleTitle |
Nosocomial methicillin-resistant Staphylococcus aureus endocarditis with splenic abscess in a pregnant woman.
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pubmed:affiliation |
Department of Clinical Bacteriology and Infectious Diseases, Ataturk University School of Medicine, Erzurum, Turkey. zozkurt@atauni.edu.tr
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pubmed:publicationType |
Journal Article,
Case Reports
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