Abstract
Background: The systemic infamatory response (SIRS) that ensues after cardiac surgery (CS) makes the diagnosis of post-operative infections diffcult, specially in patients with infamatory conditions such as rheumatic fever. In valvular heart disease (VHD) patients this diagnosis is even more critical because of the possibility of early endocarditis. We studied procalcitonin (PCT), a marker that is elevated in bacterial infections but not in SIRS in a population of VHD patients of predominant rheumatic etiology
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