INFEKTIF ENDOKARDITIS PADA PASIEN DEWASA DENGAN PATENT DUCTUS ARTERIOSUS: SEBUAH LAPORAN KASUS
DOI:
https://doi.org/10.31004/jkt.v6i4.51836Keywords:
Patent Ductus Arteriosus, Infective Endocarditis, Streptococcus Anginosus, Terapi Antibiotik, EkokardiografiAbstract
Patent Ductus Arteriosus (PDA) merupakan kelainan jantung bawaan yang dapat bertahan hingga masa dewasa dan berpotensi menimbulkan komplikasi berat, salah satunya infektif endokarditis (IE). Walaupun angka kejadian IE pada individu dewasa dengan PDA relatif rendah, infeksi ini dapat berkembang menjadi kondisi yang mengancam jiwa apabila tidak dikenali sejak awal. Studi ini membahas sebuah kasus IE pada pasien dewasa dengan PDA yang berhasil diidentifikasi dan ditangani menggunakan regimen antibiotik yang tepat. Kasus yang dilaporkan melibatkan seorang pria berusia 50 tahun dengan keluhan sesak napas intermiten. Pemeriksaan ekokardiografi mengungkapkan adanya PDA serta temuan vegetasi pada arteri pulmonalis utama. Pemeriksaan kultur darah kemudian mengonfirmasi Streptococcus anginosus sebagai agen penyebab infeksi. Terapi antibiotik berupa ampisilin diberikan selama empat minggu sesuai sensitivitas patogen. Evaluasi ulang melalui ekokardiografi menunjukkan penyusutan ukuran vegetasi disertai perbaikan kondisi klinis pasien setelah penyelesaian terapi. Laporan ini menyoroti urgensi deteksi dan penatalaksanaan IE pada pasien dewasa dengan PDA, terutama karena gejala awal sering tidak khas dan mudah diabaikan. Penggunaan antibiotik yang sesuai terbukti mampu menghasilkan respons terapi yang baik dan dapat mengurangi kebutuhan tindakan bedah. Selain memberikan gambaran klinis yang komprehensif, artikel ini turut memperluas pemahaman mengenai mekanisme terjadinya IE pada kondisi PDA serta memperkaya referensi terkait pengelolaan infeksi pada kelainan jantung bawaan pada populasi dewasa.References
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