[Staphylococcal sepsis due to ventricular septal defect patch infection 14 years after its closure]

Kardiol Pol. 2010 Aug;68(8):938-40; discussion 941.
[Article in Polish]

Abstract

We report the case of a 17 year-old girl who developed sepsis due to Methicillin-Resistant Staphyloccocus Epidermidis (MRSE) infection of Dacron patch 14 years after ventricular septal defect (VSD) closure and 4 years after pacemaker implantation. Although MRSE grew in many cultures taken and proper antibiotic regimen was administered, no improvement in patient's clinical status was observed. Disseminated intravascular coagulation and multi-organ failure developed. An operation, at which perforated Dacron VSD-patch was replaced with a new Gore-Tex one, was performed by cardiac surgery team. The patient's clinical status improved immediately after the procedure. The girl remained well 12 months after discharge.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adolescent
  • Bioprosthesis*
  • Blood Vessel Prosthesis / adverse effects
  • Blood Vessel Prosthesis / microbiology*
  • Endocarditis, Bacterial / microbiology*
  • Female
  • Heart Septal Defects, Ventricular / microbiology
  • Heart Septal Defects, Ventricular / surgery*
  • Humans
  • Methicillin-Resistant Staphylococcus aureus
  • Polytetrafluoroethylene / therapeutic use
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / surgery
  • Staphylococcus aureus / isolation & purification
  • Treatment Outcome

Substances

  • Polytetrafluoroethylene