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PubMed · 16007540

Repeat infective endocarditis: differentiating relapse from reinfection.

Vivian H Chu·Daniel J Sexton·Christopher H Cabell·L Barth Reller·Paul A Pappas·Rakesh K Singh·Vance G Fowler·G Ralph Corey·Olcay Aksoy·Christopher W Woods
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Abstract

Repeat infective endocarditis due to the same species can represent relapse of the initial infection or a new infection. We used time-based clinical criteria and pulsed-field gel electrophoresis-based molecular criteria to classify 13 cases of repeat infective endocarditis as either relapse or reinfection. The agreement between clinical and molecular criteria was imperfect (agreement in 10 [77%] of 13 cases).

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Endocarditis, BacterialEnterococcus faecalisGram-Positive Bacterial InfectionsHumansPropionibacterium acnesRecurrenceStaphylococcus aureusStaphylococcus epidermidisStreptococcus sanguisJournal ArticleResearch Support, N.I.H., ExtramuralResearch Support, U.S. Gov't, P.H.S.

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Vivian H Chu, Daniel J Sexton, Christopher H Cabell, L Barth Reller, Paul A Pappas, Rakesh K Singh, Vance G Fowler, G Ralph Corey, Olcay Aksoy, Christopher W Woods. 2005-06-14. Repeat infective endocarditis: differentiating relapse from reinfection.. https://doi.org/10.1086/431590

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Bacterial endocarditis following rubber band ligation in a patient with a ventricular septal defect: report of a case and guideline analysis.

Rubber band ligation is a common option used to treat symptomatic internal hemorrhoids. Severe complications such as pelvic sepsis are a rare occurrence. We report a case of endocarditis leading to septic pulmonary and renal emboli following single-quadrant rubber band ligation. The patient had a known ventricular septal defect and developed low back pain and fever after ligation of a right anterior internal hemorrhoid. He was found to have septic pulmonary emboli, a renal wedge septic infarct, and a large vegetation on his membranous ventricular septal defect requiring operative intervention. Before this report, rubber band ligation has not been associated with endocarditis. According to several guidelines, this patient did not require antibiotic prophylaxis. It is unclear whether prophylaxis could have prevented this complication. Surgeons utilizing rubber band ligation need to be familiar with all potential complications.

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