[ XXXX using Immunosuppressive Agent for @entity483 ;Report of a Case].

@entity1 @entity483 @entity999 @entity2348 @entity340 @entity2259 @entity385 @entity884
A 26-year-old @entity1 had a history of severe @entity483 . He was taking immunosuppressive drug. Mitral valve replacement (MVR)had been performed for @entity884 March 2008. He came to our hospital in July 2012 complaining of fever of 39 degrees Celsius. According to computed tomography(CT) and transesophageal echocardiography (TEE), we diagnosed that he had @entity999 and @entity2348 . Antibiotic treatment was performed for 2 weeks after the onset of @entity385 . Then we conducted re-MVR. The postoperative course was satisfactory. He showed a gradual improvement in the level of consciousness and was discharged. In @entity1 with @entity483 , bacteria can penetrate into the blood from the skin easily. So they are often affected by @entity2259 . There are some reports that @entity884 is likely to occur in immunosuppressed @entity1 . It is suggested that immunosuppressive drug was involved in the development of @entity340 (PVE)in addition to @entity483 in this @entity1 .
