Recurrent infective endocarditis of the mitral valve after orthotopic heart transplantation
  • Peter Snopek
    Department of Cardiology, Faculty Hospital, Nitra, Slovakia; Faculty of Social Sciences and Health, University of Constantin Philosopher, Nitra, Slovakia
  • Jozef Hasilla
    Department of Cardiology, Faculty Hospital, Nitra, Slovakia; Faculty of Social Sciences and Health, University of Constantin Philosopher, Nitra, Slovakia
  • Lukáš Patrovič
    Jessenius Diagnostic Centre, Nitra, Slovakia
  • Dominik Juskanič
    Jessenius Diagnostic Centre, Nitra, Slovakia
  • Jakub Benko
    Department of Cardiology, Faculty Hospital, Nitra, Slovakia; Department of Internal Medicine I, Jessenius Faculty of Medicine at Comenius University, Martin, Slovakia
  • Martin Jozef Péč
  • Matej Samoš

Keywords

immunosuppression, haemodialysis, antibiotics, bacteraemia, catheter sepsis

Abstract

Introduction: Orthotopic heart transplantation is the gold standard for the treatment of advanced heart failure in the absence of contraindications. Infective endocarditis is a rare complication in patients after heart transplantation. The treatment of endocarditis after heart transplantation is challenging since there is a need for ongoing immunosuppression.
Case description: We present the case of a 51-year-old orthotopic heart transplant recipient enrolled in a chronic dialysis program, in whom we diagnosed and successfully treated recurrent infective endocarditis of the mitral valve caused by Enterococcus and Enterobacter species. Despite the complicated course of the disease, the treatment was successful.
Conclusions: Recurrent infective endocarditis after heart transplantation can be treated successfully with a multidisciplinary approach and robust antimicrobial therapy.

VIEW THE ENTIRE ARTICLE

References

  • Martínez-Sellés M, Tattevin P, Valerio-Minero M, de Alarcón A, Fariñas MC, Mirabet-Pérez S, et al. Infective endocarditis in patients with heart transplantation. Int J Cardiol 2021;328:158-162.
  • Jordan AM, Tatum R, Ahmad D, Patel SV, Maynes EJ, Weber MP, et al. Infective endocarditis following heart transplantation: A systematic review. Transplant Rev 2022;36:100672.
  • Pericàs JM, Llopis J, Jiménez-Exposito MJ, Kourany WM, Almirante B, Carosi G, et al. Infective Endocarditis in Patients on Chronic Hemodialysis. J Am Coll Cardiol 2021;77:1629-1640.
  • Ioannou P, Vamvoukaki R, Kofteridis DP. Infective endocarditis by Enterobacter cloacae: a systematic review and meta-analysis. J Chemother 2022;34:1-8.
  • Karasahin O, Yildiz Z, Unal O, Arslan U. A rare cause of healthcare-associated infective endocarditis: Enterobacter cloacae. IDCases 2018;12:18-20.
  • Views: 161
    HTML downloads: 11
    PDF downloads: 90


    Published: 2024-04-22
    Issue: 2024: Vol 11 No 6 (view)


    How to cite:
    1.
    Snopek P, Hasilla J, Patrovič L, Juskanič D, Benko J, Péč MJ, Samoš M. Recurrent infective endocarditis of the mitral valve after orthotopic heart transplantation. EJCRIM 2024;11 doi:10.12890/2024_004528.

    Most read articles by the same author(s)