抗万科胺素的肠球菌内心炎,由脏梗塞和栓塞性中风复杂化.
Shivam Khatri1, Adisalem Teferi2, Simon Kashfi3
1Medicine, The City University of New York School of Medicine, New York, USA.
Cureus
|July 21, 2023
概括
抗万科素肠球菌 (VRE) 内心炎是一种严重的感染. 本案例报告详细介绍了使用抗生素和抗凝剂成功治疗与脏梗塞和中风相关的VRE内心炎.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 传染性内心炎 (IE) 具有显著的发病率和死亡率.
- 肠球菌是IE的常见原因,而抗万科胺素的肠球菌 (VRE) 感染正在增加.
- 对IE的危险因素包括先前存在的心脏病,物质使用和心脏手术.
研究的目的:
- 报告一个罕见的VRE内心炎病例与多种系统性并发症.
- 强调早期识别和管理VRE内心炎的重要性.
- 为突出复杂的VRE内心炎病例的成功治疗策略.
主要方法:
- 一个88岁的女性患有心脏并发症的案例介绍.
- 通过脏梗塞和栓塞性中风复杂的VRE内心炎的诊断.
- 结合抗生素和抗凝治疗的治疗.
主要成果:
- 通过实施的治疗方案获得成功的临床结果.
- 患者从VRE内心炎,脏梗塞和栓塞性中风中恢复过来.
- 这个病例增加了VRE内心炎与严重系统性参与的有限的记录病例.
结论:
- 静脉回路内心炎可能导致严重的全身并发症,包括脏梗塞和中风.
- 迅速和适当的管理,包括抗生素和抗凝药,对于有利的结果至关重要.
- 需要进一步的研究和警来管理VRE内心炎,特别是患有并发病的老年患者.
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