在静脉注射药物使用者中经常出现的生物假体塞拉蒂亚marcescens内心炎
Dana Sadaqa1, Amro Daoud2, Fuad Zeid2
1Department of Pharmacy, Birzeit University, Birzeit, Palestinian Territory, Occupied.
The American journal of case reports
|July 6, 2023
概括
静脉注射药物使用者的 Serratia marcescens 内心炎的复发需要积极的源控制和抗生素治疗. 早期诊断和管理对于改善这些高风险患者的治疗结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 心血管外科心血管外科
背景情况:
- 报告了两例年轻静脉注射药物使用者的右侧内心炎复发病例.
- 强调早期诊断和治疗复发性感染的关键需求,这些感染会导致更高的死亡率.
研究的目的:
- 强调源控制在治疗复发性生物假体膜内心炎中的重要性.
- 为了强调与复发性内心炎相关的发病率和死亡率的增加.
主要方法:
- 介绍了两名年轻女性的病例报告,这些年轻女性患有复发性Serratia marcescens三管内心炎.
- 详细介绍医疗和外科干预,包括抗生素治疗方案 (美罗和万科米辛) 和门置换.
主要成果:
- 两位患者都经历了反复的Serratia marcescens内心炎,尽管先前的治疗和门置换.
- 一名患者需要进行重复椎切割和门扩张/置换;另一个患者被转移到进一步治疗.
结论:
- 复发的生物假肢内心炎需要专注于源控制,包括停止静脉药物滥用.
- 适当的抗生素治疗对于预防复发和减轻发病率和死亡率显著增加至关重要.
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