Abstract：
:Escherichia coli endocarditis is a rare condition, even though bacteriemia by such agent is common. The infection, normally from a urinary origin, may, in fact, progress without major hemodynamic disturbance and minimal symptoms, regardless its ability of destruction of heart's valvular apparatus. We present a case report of a 68-year-old man, with a history of aortic valvular mechanic prosthesis, dyslipidemia and hypertension, admitted at the emergency room with refractory fever and urinary tract symptoms. On the hypothesis of endocarditis, he was submitted to transesofagic echocardiography that suggested a prosthetic vegetation, without hemodynamic dysfunction. E. coli was cultured from the blood soon after, and antibiotics adapted according to sensibility testing. Nevertheless, the patient deteriorated, both clinically and echocardiographically, with development of periprosthesis abscess, detachment of the prosthesis and extension of the infection to other valves, with hemodynamic dysfunction. The infection was only restrained with a surgical approach, which reflects the importance of this therapeutic weapon in these situations, including the correct timing.
journal_name
Acta Med Portjournal_title
Acta medica portuguesaauthors
Teixeira T,Vieira M,Bastos M,Santos JAsubject
Has Abstractpub_date
2010-09-01 00:00:00pages
945-50issue
5eissn
0870-399Xissn
1646-0758journal_volume
23pub_type
杂志文章abstract：INTRODUCTION:Visceral leishmaniasis is an endemic disseminated infection, considered to be the third most frequent opportunistic parasitic infection in Europe. It is especially prevalent in patients co-infected with human immunodeficiency virus, in whom it poses a great therapeutic challenge due to increased risk of re...
journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.8291
更新日期：2017-06-30 00:00:00
abstract：:As a growing number of people suffer from obesity, understanding the mechanisms by which various hormones and neurotransmitters have influence on energy balance has been the subject of intensive research. Recent experimental studies have implicated leptin as a crucial controller of body weight. Leptin is a 167-aminoac...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2009-05-01 00:00:00
abstract：INTRODUCTION:Periarticular corticosteroid injection utilization by General Practitioners treating musculoskeletal disease in primary health care system is internationally acknowledged. This article aims at analyzing this evidence and contributing to the discussion of a potential development of the technique in Portugal...
journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
doi：
更新日期：2015-09-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章,评审
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更新日期：2010-03-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
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pub_type： 杂志文章,评审
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
更新日期：2010-09-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
更新日期：2009-09-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2012-11-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：10.20344/amp.4280
更新日期：2014-03-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
更新日期：1997-06-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
更新日期：2011-12-01 00:00:00
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doi：
更新日期：2008-11-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2006-11-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 临床试验,杂志文章
doi：
更新日期：2002-09-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2004-05-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
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doi：10.20344/amp.12049
更新日期：2020-01-03 00:00:00
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更新日期：2013-07-01 00:00:00
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更新日期：1990-11-01 00:00:00
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journal_title：Acta medica portuguesa
pub_type： 杂志文章
doi：
更新日期：2003-07-01 00:00:00
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journal_title：Acta medica portuguesa
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doi：
更新日期：2002-03-01 00:00:00
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更新日期：2015-01-01 00:00:00
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journal_title：Acta medica portuguesa
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更新日期：2005-07-01 00:00:00
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