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KMID : 0984720030350030160
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Infection and Chemotherapy
2003 Volume.35 No. 3 p.160 ~ p.164
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Two Cases of Infective Endocarditis in Burn Patients Requiring Surgical Intervention
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Kim Keun-Sook
Lee Tae-Yu
Chung Youn-Son
Choi Chang-Soon
Choi Min-Ho
Ryu Je-Hyun
Kim Cheol-Hong
Cho Goo-Yeong
Woo Heung-Jeong
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Abstract
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Infective endocarditis is a rare but fatal complication following burn injury. The clinical presentation is silent, but with persistent fever and positive blood culture. The manipulation of clinical care as well as the burn wound itself and immunosuppression caused by extensive burns puts the burn patients at risk of bacteremia. Staphylococcus aureus and Gram-negative bacilli are most common pathogens of infective endocarditis following burns. We report herein two cases of infective endocarditis in the burn patients who requires surgical intervention. The first case was caused by Pseudomonas aeruginosa with complication of multifocal pneumonia, and the second case by coagulase-negative stapylococcus with cerebral hemorrhage.
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KEYWORD
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endocarditis, burn
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