Endocarditis por salmonella en lupus eritematoso sistémico
DOI:
https://doi.org/10.31053/1853.0605.v68.n1.22561Palabras clave:
endocarditis, salmonella, eritematoso sistémicoResumen
Introducción: Los pacientes con Lupus Eritematoso Sistémico (LES) están predispuestos al desarrollo de infecciones que pueden causar significativa morbilidad y
mortalidad. La infección endovascular por Salmonella es una complicación rara, de difícil diagnóstico y mal pronostico.
Objetivos: Presentación de dos casos de endocarditis por salmonella en pacientes con LES.
Casos Clìnicos: Presentamos dos casos de endocarditis causada por Salmonella en pacientes con LES, uno de ellos con diagnóstico nuevo de diabetes y otro con insuficiencia renal crónica. A pesar del tratamiento antibiótico con quinolonas y cefalosporinas de tercera generación, los pacientes requirieron intervención quirúrgica.
Conclusión: Es necesario un alto índice de sospecha de infecciòn por Salmonella en pacientes con LES para evitar demoras en el diagnóstico y tratamiento.
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