Recurrent Klebsiella pneumoniae Infection Causing Transcatheter Aortic Valve Implantation (TAVI)-Related Endocarditis
  • Valentina Tosatto
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Cristiano Cruz
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Teresa Ferreira
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Torcato Moreira Marques
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Matteo Boattini
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • André Almeida
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal
  • Rita Barata Moura
    Internal Medicine Department, Hospital Santa Marta, Centro Hospitalar de Lisboa Central, Lisboa, Portugal

Keywords

Transcatheter aortic valve implantation, infective endocarditis, Klebsiella pneumoniae, bacteraemia

Abstract

The authors report the case of an 86-year-old woman presenting with recurrent Klebsiella pneumoniae bacteraemia. She had severe aortic stenosis submitted to a recent transcatheter aortic valve implantation (TAVI). Initially, Klebsiella pneumoniae bacteraemia from a urinary source was diagnosed . Following another 4 episodes of bacteraemia with the same agent, the source was ultimately found to be a periprosthetic abscess. Considering the patient’s unsuitability for surgery, a decision was made for life-long antimicrobial therapy. This approach has been successful in preventing recurrences or complications. Endocarditis is one of the most severe complications seen following TAVI, often carrying a poor prognosis. Even though Klebsiella spp. are common pathogens for healthcare-associated infections among the elderly, they are seldom the causative agent for endocarditis. Being the first reported case of TAVI-related Klebsiella endocarditis, it was successfully managed using a medical approach.

VIEW THE ENTIRE ARTICLE

References

  • Ando T, Ashraf S, Villablanca PA, Telila TA, Takagi H, Grines CL, et al. Meta-analysis comparing the incidence of infective endocarditis following transcatheter aortic valve implantation versus surgical aortic valve replacement. Am J Cardiol 2019;123(5):827–832.

  • Amat-Santos IJ, Messika-Zeitoun D, Eltchaninoff H, Kapadia S, Lerakis S, Cheema AN, et al. Infective endocarditis after transcatheter aortic valve implantation: results from a large multicenter registry. Circulation 2015;131:1566–1574.

  • Regueiro A, Linke A, Latib A, Ihlemann N, Urena M, Walther T, et al. Association between transcatheter aortic valve replacement and subsequent infective endocarditis and in-hospital death. JAMA 2016;316:1083–1092.

  • Morpeth S, Murdoch D, Cabell CH, Karchmer AW, Pappas P, Levine D, et al. Non-HACEK gram-negative baccilus endocarditis. Ann Intern Med 2007;147(12):829–835.

  • Chourdakis E, Koniari I, Hahalis G, Kounis NG, Hauptmann KE. Endocarditis after transcatheter aortic valve implantation: a current assessment. J Geriatr Cardiol 2018;15(1):61–65.

    • Views: 979
    HTML downloads: 105
    PDF downloads: 521

    Published: 2020-02-03
    Issue: 2020: Vol 7 No 3 (view)

    How to cite:
    1.
    Tosatto V, Cruz C, Ferreira T, Marques TM, Boattini M, Almeida A, Moura RB. Recurrent Klebsiella pneumoniae Infection Causing Transcatheter Aortic Valve Implantation (TAVI)-Related Endocarditis. EJCRIM 2020;7 doi:10.12890/2020_001379.

    Similar Articles

    You may also start an advanced similarity search for this article.

    Most read articles by the same author(s)