Revista médica de Chile
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Revista médica de Chile · Feb 2023
Case Reports[Infective endocarditis with bivalvular involvement due to Erysipelothrix rhusiopathiae. Report of one case].
The microbiology of infective endocarditis (IE) varies in different populations and depends on public health conditions and socioeconomic status. In low-income countries, oral Streptococci affect hearts with rheumatic valve disease in patients with poor dentition. In high-income countries, Staphylococci are the most common cause, affecting elderly and immunocompromised patients, or those with invasive devices. ⋯ We report a 62 year-old male patient with a history of exposure to animals, who developed an infective endocarditis with severe bivalve regurgitation and septic shock, requiring antimicrobials and surgical resolution. Erysipelothrix rhusiopathiae was isolated from blood and valve vegetation cultures. The patient had a successful evolution and was discharged from the hospital.
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Revista médica de Chile · Feb 2023
Case ReportsThe challenges faced after a major trauma at an expedition ship at a remote area. Report of one Case.
The challenges of practicing medicine in small ships on remote sites involve limited resources, lack of specialized support, and longer interactions with a patient in an isolated environment. This report describes the successful management of a patient who suffered a major injury after fell from the stairs in an expedition ship in the Southern Ocean in the Antarctic route. The patient was managed by the onboard physician for four days until the medical evacuation was possible.