Infection (2018) 46:435–436 https://doi.org/10.1007/s15010-017-1083-3 CORRESPONDENCE Medical management of Salmonella enteritidis prosthetic valve endocarditis with multiple infectious foci 1 1 1,2 Philip W. Lam · Ethan Tumarkin · Isaac I. Bogoch Received: 14 August 2017 / Accepted: 13 October 2017 / Published online: 20 October 2017 © Springer-Verlag GmbH Germany 2017 To the Editor, (0.9 × 0.85 × 1.1 cm) valve, thickening of the proximal aorta suggestive of a peri-annular aortic root abscess, and We recently cared for an individual with Salmonella enter- a large echogenic mass on the right ventricular pacemaker itidis prosthetic valve endocarditis with extensive involve- lead . Abdominal imaging demonstrated evidence of ment and multiple foci of infection. Salmonella enteritidis is splenic infarcts. still a relatively uncommon cause of bacterial endocarditis Due to an unacceptably high surgical risk, a trial of medi- and prosthetic valves involvement is similarly uncommon. In cal management was sought with an aim to reduce disease a recent series of 87 reported cases of salmonella endocardi- burden followed by chronic suppressive therapy. He com- tis between 1976 and 2014, there were 19 cases of prosthetic pleted a 6 week course of ceftriaxone followed by oral tri- valve endocarditis and an overall mortality rate of 26.3% . methoprim/sulfamethoxazole (TMP/SMX) 800 mg/160 mg Here, we outline the management
Infection – Springer Journals
Published: Oct 20, 2017
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