A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections
A 53-year-old woman with end-stage renal impairment on hemodialysis was evaluated for recurrent episodes of Corynebacterium jeikeium bacteremia and endocarditis. Her recurrences occurred despite surgical debridement and extended courses of culture-directed antimicrobial therapy. The clinical course...
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2019-01-01
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doaj-0b02fc895a4f4e04b8c3513a2d720cf72021-07-02T04:42:00ZengElsevierIDCases2214-25092019-01-0118A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infectionsJohn-Ross D. Clarke0Manal Abdur Rahman1Zane Saul2Department of Internal Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, 06610, USA; Corresponding author at: 267 Grant Street, Bridgeport, CT, 06610, USA.Department of Internal Medicine, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, 06610, USADepartment of Infectious Diseases, Bridgeport Hospital, Yale-New Haven Health System, Bridgeport, CT, 06610, USAA 53-year-old woman with end-stage renal impairment on hemodialysis was evaluated for recurrent episodes of Corynebacterium jeikeium bacteremia and endocarditis. Her recurrences occurred despite surgical debridement and extended courses of culture-directed antimicrobial therapy. The clinical course was complicated by the requirement of various endovascular prostheses for vascular access. To our knowledge this degree of relapse with guideline medical and surgical therapy is rare and challenges current practice and understanding of this group of infection. Keywords: Corynebacterium jeikeium endocarditis, Infective endocarditis, Recurrent endovascular infectionhttp://www.sciencedirect.com/science/article/pii/S2214250919301404 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
John-Ross D. Clarke Manal Abdur Rahman Zane Saul |
spellingShingle |
John-Ross D. Clarke Manal Abdur Rahman Zane Saul A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections IDCases |
author_facet |
John-Ross D. Clarke Manal Abdur Rahman Zane Saul |
author_sort |
John-Ross D. Clarke |
title |
A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections |
title_short |
A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections |
title_full |
A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections |
title_fullStr |
A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections |
title_full_unstemmed |
A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections |
title_sort |
case of recurrent corynebacterium jeikeium endocarditis: unanswered questions for the treatment of chronic endovascular infections |
publisher |
Elsevier |
series |
IDCases |
issn |
2214-2509 |
publishDate |
2019-01-01 |
description |
A 53-year-old woman with end-stage renal impairment on hemodialysis was evaluated for recurrent episodes of Corynebacterium jeikeium bacteremia and endocarditis. Her recurrences occurred despite surgical debridement and extended courses of culture-directed antimicrobial therapy. The clinical course was complicated by the requirement of various endovascular prostheses for vascular access. To our knowledge this degree of relapse with guideline medical and surgical therapy is rare and challenges current practice and understanding of this group of infection. Keywords: Corynebacterium jeikeium endocarditis, Infective endocarditis, Recurrent endovascular infection |
url |
http://www.sciencedirect.com/science/article/pii/S2214250919301404 |
work_keys_str_mv |
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