Wiad Lek. 2003;56(11-12):591-3
Prystupa A, Mosiewicz J.
Katedry i Kliniki Chorob Wewnetrznych Akademii Medycznej w Lublinie
Multiple sclerosis is chronic demyelination disease associated with complex immunological disorders, resulting in increased susceptibility to different infections.
A case of woman, aged 40 with multiple sclerosis who was admitted to the Internal Medicine Ward because of severe general state, fever of seven-day duration and systolic murmur in apex area is discussed in this paper.
Clinical status and performed diagnostics, among others; echocardiography, blood cultures, abdominal ultrasonography, allowed to diagnose infective endocarditis caused by Enterococcus faecalis.
Antibiotics as follows: augmentin, cefuroxim, cefotaxim and vancomycin were administered parenterally.
As a result of the treatment normalization of temperature and complete recovery were obtained.