» Articles » PMID: 37426621

Ultra-multiplex PCR Technique to Guide Treatment of -infected Aortic Valve Prostheses

Overview
Journal Open Life Sci
Specialty Biology
Date 2023 Jul 10
PMID 37426621
Authors
Affiliations
Soon will be listed here.
Abstract

Prosthetic valve endocarditis is a serious complication after heart valve replacement, accounting for about 20-30% of infective endocarditis (IE). Aspergillosis infection accounts for 25-30% of fungal endocarditis, and the mortality rate is 42-68%. IE often has negative blood cultures and lacks fever, which makes diagnosis difficult and delays antifungal therapy. Our study reported a case of IE in a patient with infection after aortic valve replacement. Ultra-multiplex polymerase chain reaction was used to identify infection and guide treatment. The purpose of this study was to enhance the understanding of the management of patients with endocarditis infected by fungi after valve replacement regarding the early detection, timely intervention, and treatment of the fungal infection to reduce the risk of death and improve the long-term survival of patients.

References
1.
Jalalian R, Shokohi T, Mirzakhani R, Ghasemian R, Hedayati M, Ardalani S . Fatal Prosthetic Valve Endocarditis Due to in a Diabetic Patient. Infect Drug Resist. 2020; 13:2245-2250. PMC: 7360421. DOI: 10.2147/IDR.S258637. View

2.
Chao L, Li J, Zhang Y, Pu H, Yan X . Application of next generation sequencing-based rapid detection platform for microbiological diagnosis and drug resistance prediction in acute lower respiratory infection. Ann Transl Med. 2021; 8(24):1644. PMC: 7812213. DOI: 10.21037/atm-20-7081. View

3.
Wang A, Athan E, Pappas P, Fowler Jr V, Olaison L, Pare C . Contemporary clinical profile and outcome of prosthetic valve endocarditis. JAMA. 2007; 297(12):1354-61. DOI: 10.1001/jama.297.12.1354. View

4.
Donnelly J, Chen S, Kauffman C, Steinbach W, Baddley J, Verweij P . Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium. Clin Infect Dis. 2019; 71(6):1367-1376. PMC: 7486838. DOI: 10.1093/cid/ciz1008. View

5.
Wiesemann S, Trauzeddel R, Musa A, Hickstein R, Mayr T, von Knobelsdorff-Brenkenhoff F . Changes of aortic hemodynamics after aortic valve replacement-A four dimensional flow cardiovascular magnetic resonance follow up study. Front Cardiovasc Med. 2023; 10:1071643. PMC: 9971963. DOI: 10.3389/fcvm.2023.1071643. View