Clostridium sp. as a cause of Endocarditis in a patient with liver Cirrhosis by Janaína Luz NarcisoSchiavon in Journal of Clinical Case Reports Medical Images and Health Sciences
Clostridium sp. as a cause of Endocarditis in a patient with liver Cirrhosis by Janaína Luz NarcisoSchiavon in Journal of Clinical Case Reports Medical Images and Health Sciences Abstract We report the case of a patient with liver cirrhosis admitted with fever and diarrhea, with a positive blood culture for Clostridium sp . and positive result for fecal glutamate desidrogenase, with cardiac valve vegetation and presumptive diagnosis of endocarditis that was successfully treated with vancomycin. KEY-WORDS: Clostridium ; Diarrhea; Endocarditis INTRODUCTION Due to a hyperinflammatory state at the clinical and molecular level and profound immunoparesis, patients with decompensated cirrhosis are at risk of developing bacterial infections which frequently result in hospitalization 1 . The most common infections in cirrhosis are spontaneous bacterial peritonitis, urinary tract infection, pneumonia, spontaneous bacteremia, skin and soft tissue infection 2 . Clostrid...