Mitral Valve Endocarditis: A rare Manifestation of Lyme Disease
We describe a case of mitral regurgitation with a preoperative diagnosis of myxomatous mitral valve degeneration. During surgery, the surgeon suspected infective rather than degenerative; etiology; tissue cultures were negative. However, universal bacterial PCR on explanted valve tissue detected Borrelia burgdorferi Deoxyribonucleic Acid(DNA). If a surgeon suspects infective endocarditis at the time surgery, appropriate specimens should be sent for histopathology, culture, and PCR.
Research ArticlesL. KRBKOV Á, L. HOMOLA, A. HLAVÁČOVÁ, P. MIKOLÁŠEK, J. BEDNÁŘOVÁ, Z. ČERMÁKOVÁ,Epidemiology&Infection,Volume 144 Issue 12, pp 2597-2604Abstract
Kate Winslet picture about renowned fossil hunter had been criticised by relatives for ‘unconfirmed’ portrait of her sexualityThe director of a new biopic about the celebrated fossil hunter Mary Anning has defended his film after criticism of its lesbian romance storyline.Ammonite, which stars Kate Winslet and Saoirse Ronan, recently began filming in Lyme Regis, the coastal town in Dorset where Anning lived in the early 19th century. Anning never married and is not known to have had any direct descendants, but a report in the Telegraph suggested her distant relatives were at odds over the film ’s central ...
CHICAGO—Keith Winthrop, MD, MPH, professor of public health and preventive medicine at the Oregon Health &Science University School of Medicine, Portland, Ore., began the vaccination session at the 2018 ACR/ARHP Annual Meeting with a review of vaccination timing and targets. He presented a clinically relevant snapshot of the vaccines rheumatologists should consider and emphasized... [Read More]
Publication date: April 2019Source: Revista Española de Cardiología (English Edition), Volume 72, Issue 4Author(s): Manuel Chacón-Díaz, Roberto Ruiz-Cordero, Helard Miranda-Aguilar, Josias Rios-Ortega, Fernando Córdova-Gómez, Julio Morón-Castro
(MedPage Today) -- But researchers caution that more research is needed before changing practice
AbstractThere are limited data regarding the implantation of prosthetic valved conduits for right outflow tract reconstruction in pediatric patients in China. A retrospective review of 128 patients undergoing conduits implantation with a median follow-up of 33.3 months (range, 3.3 months to 10.1 years) was performed between 2009 and 2018. Multivariate Cox regression model was used to analyze the risk factors for mortality, reintervention and endocarditis. Freedom from reintervention and endocarditis were plotted using the Kaplan–Meier curve. Hospital mortality was 7.8%, and the late mortality was 3.1%...
New England Journal of Medicine, Ahead of Print.
ST-elevation myocardial infarction (STEMI) as a complication of infective endocarditis (IE) is a rarely reported entity. No clear guidelines exist with regards to the management of this medical emergency. We sought to systematically review the clinical presentation and management of this condition. We searched relevant articles on STEMI associated with IE and extracted data on demographic variables, key clinical characteristics upon presentation, treatment strategies, and clinical outcomes. We identified 100 patients from 95 articles.
Publication date: Available online 14 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): John S. Young, Bruce F. Farber, Stevan S. Pupovac, L. Michael GraverAbstractThis is a case report of an 80 year old man with culture-negative prosthetic valve endocarditis who was ultimately diagnosed with Legionella pneumophila endocarditis.