DOI: 10.12890/2020_001379

Recurrent Klebsiella pneumoniae Infection Causing Transcatheter Aortic Valve Implantation (TAVI)-Related Endocarditis

Authors

  • 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

valentina.tosatto@gmail.com

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.

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Published

2020-02-03

Issue

Vol. 7 No. 3 (2020)

How to Cite

1.
Tosatto V, Cruz C, Ferreira T, Marques TM, Boattini M, Almeida A, et al. Recurrent Klebsiella pneumoniae Infection Causing Transcatheter Aortic Valve Implantation (TAVI)-Related Endocarditis. EJCRIM [Internet]. 2020 Feb. 3 [cited 2026 Nov. 3];7(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/1379

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