SUCCESSFUL CONSERVATIVE TREATMENT OF NONTYPHOID SALMONELLA-ENDOCARDITIS INVOLVING A BIOPROSTHETIC VALVE

We report a first case of Salmonella enteritidis endocarditis involvin g a bioprosthetic aortic valve. Despite additional native tricuspid va lve involvement, the clinical course was favorable using an antibiotic regimen of ciprofloxacin and netilmicin. Although Salmonella prosthet ic valve endocarditis is considered an indication for surgical replace ment of the prosthesis, this case indicates that prolonged treatment w ith fluoroquinolones may be an alternative provided that the hemodynam ic situation is stable.