内心炎指南中的盲点:心脏手术后的假内心炎 - - 一系列病例
Janina Trauth1, Ulrich Matt1, Thomas A Kohl2,3,4
1Department of Medicine V-Infectious Diseases, Justus-Liebig-University, Klinikstr 33, 35392 Giessen, Germany.
European heart journal. Case reports
|September 1, 2023
概括
菌根性内心炎,特别是由Mycobacterium chimaera引起的,需要超越标准测试的专业诊断. 早期检测和治疗对于假内心炎病例的生存至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 微生物学 微生物学
背景情况:
- 2023年杜克-ISCVID标准现在包括菌,特别是Mycobacterium chimaera,作为假内心炎的典型原因.
- 这项纳入承认了Mycobacterium chimaera假内心炎的全球爆发.
研究的目的:
- 为了呈现一个诊断途径,用于真菌内心炎.
- 突出专业诊断的重要性,因为不特定的症状和标准微生物学测试的局限性.
- 为了将结果与诊断时间和治疗策略相关联.
主要方法:
- 追溯案例系列分析.
- 对真菌内心炎的诊断途径的审查.
- 与2023年杜克-ISCVID标准进行比较.
主要成果:
- 菌根性内心炎表现为不特定的症状,并且经常逃避标准的微生物识别.
- 专门的微生物学和成像诊断对于准确的诊断至关重要.
- 一名早期诊断和联合治疗的患者幸存下来,而两名在诊断时传播疾病的患者死亡.
结论:
- 诊断方法与新的杜克标准保持一致,解决了以前的诊断差距.
- 及时诊断和适当的抗菌和手术治疗对于Mycobacterium chimaera假内心炎的良好结果至关重要.
- 在未来的内心炎指南中,非结核性真菌菌应得到更多的关注.
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