Open AccessAn excluded diagnosis
Author(s) -
Paolo Ghiringhelli,
Mariagrazia Aspesi
Publication year - 2007
Publication title -
clinical management issues
Language(s) - English
Resource type - Journals
eISSN - 2283-3137
pISSN - 1973-4832
DOI - 10.7175/cmi.v1i4.596
Subject(s) - medicine , teicoplanin , endocarditis , staphylococcus epidermidis , infective endocarditis , surgery , antibiotics , staphylococcus aureus , vancomycin , biology , bacteria , microbiology and biotechnology , genetics
We describe a 50-years-old patient with septic fever of unidentifiable source, following resection for rectal adenocarcinoma. He has been in treatment for sepsi two months before. Blood coltures, an accurate amanestic analysis and a transesophageal echocardiography were the major tools for the diagnosis of this disease. After the diagnosis of infective endocarditis had been excluded, antibiotic treatment (with teicoplanin and rifampicine) was given for the presence of Staphylococcus epidermidis. The previous pacemaker system was removed and a DDD pacemaker was implanted