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KMID : 0351220020340050341
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Korean Journal of Infectious Diseases
2002 Volume.34 No. 5 p.341 ~ p.344
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Methicillin-Resistant Staphylococcus aureus Endocarditis Involving Tricuspid Valve in Ventricular Septal Defect with Multiple Pulmonary Embolism
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Moon Hee-Kun
Joo Hee-RIn
Han Jin
Lee Hyuck
Kim Young-Dae
Woo Jong-Soo
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Abstract
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We report a case of methicillin-resistant Staphylococcus aureus (MRSA) endocarditis involving tricuspid valve in small ventricular septal defect with multiple pulmonary embolism. A 36-years-old woman presented with 7 days course of fever and mental abnormality. She had small-sized ventricular septal defect (VSD) and no risk factors for the infection such as history of intravenous drug abuse and hospitalization. Methicillinresistant Staphylococcus aureus was isolated from all three sets of blood culture drawn on admission and from the huge pulmonary embolus retrieved during op-
eration. Resection of pulmonary emboli and patch re-pair of ventricular septal defect were done. Teicoplanin was administered for a total of 28 days due to febrile rash associated with vancomycin treatment after operation. She was discharged without complication. (Korean J Infect Dis 34:341-x-344, 2002)
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KEYWORD
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Infective endocarditis, Methicillin-resistant Staphylococcus aureus, Ventricular septal defect, Pulmonary embolism
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