Abstract
The organism responsible for endocarditis of a prosthetic aortic valve was identified as Nocardia asteroides. The patient was treated with intravenous amikacin (250 mg four times a day) and intravenous imipenem (1.5 g four times a day). The valve was replaced under this new antibiotic regimen. This is the first report of survival after prosthetic valve nocardiosis.
MeSH terms
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Amikacin / therapeutic use
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Aortic Valve / surgery
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / etiology*
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Heart Valve Prosthesis*
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Humans
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Imipenem
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Male
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Middle Aged
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Nocardia Infections / drug therapy
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Nocardia Infections / etiology*
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Nocardia asteroides
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Postoperative Complications / drug therapy*
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Thienamycins / therapeutic use
Substances
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Thienamycins
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Imipenem
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Amikacin