CARDIOVASCULAR JOURNAL OF AFRICA • Vol 23, No 2, March 2012
AFRICA
e7
ing coated with antibiotics. We could not find any other cause to
explain the IE in our case. More clinical research is needed to
prove that nasal packing causes significant bacteraemia and can
cause IE. Routine systemic antibiotic prophylaxis should be used
to prevent endocarditis after these procedures in high-risk patients.
Conclusion
This is the first case of bioprosthetic aortic valve endocarditis
associated with spondylodiscitis as a result of posterior nasal
packing without systemic antibiotic prophylaxis.
References
1.
Habib G, Thuny F, Avierinos JF. Prosthetic valve endocarditis: current
approach and therapeutic options.
Prog Cardiovasc Dis
2008;
50
:
274–281.
2.
Le Moal G, Roblot F, Paccalin M, Sosner P, Burucoa C, Roblot P.
Clinical and laboratory characteristics of infective endocarditis when
associated with spondylodiscitis.
Eur J Clin Microbiol Infect Dis
2002;
21
: 671–675.
3.
Morelli S, Carmenini E, Caporossi A, Aguglia G, Bernardo ML, Gurgo
AM. Spondylodiscitis and infective endocarditis: case studies and
review of the literature.
Spine
2001;
26
: 499–500.
4.
De Sèze S, Ryckewaert A, Kahn MF, Simonin JL, Heuleu JN. Osler’s
endocarditis in rheumatology.
Rev Rhum Mal Osteoartic
1965;
32
:
739–744.
5.
Calderwood SB, Swinski LA, Karchmer AW, Waternaux CM, Buckley
MJ. Prosthetic valve endocarditis. Analysis of factors affecting outcome
of therapy.
J Thorac Cardiovasc Surg
1986;
92
: 776–783.
6.
Jayawardena S, Eisdorfer J, Indulkar S, Zarkaria M. Infective endocar-
ditis of native valve after anterior nasal packing.
Am J Ther
2006;
13
:
460–462.
7.
Finelli PF, Ross JW. Endocarditis following nasal packing: need for
prophylaxis.
Clin Infect Dis
1994;
19
: 984–985.
