相关实验视频
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An Intact Pericardium Ischemic Rodent Model
Published on: September 2, 2021
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一例Cutibacterium 冠状动脉旁路手术后心周溢出
Travis R Moodie1, John Taylor2, Benjamin Shepple2
1Internal Medicine, University of Tennessee, Knoxville, USA.
Cureus
|September 8, 2023
概括
皮肤上常见的细菌Cutibacterium acnes在心脏手术后引起性心膜炎. 通过转食管回声及抗生素治疗及时诊断导致患者康复.
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:
- 昆虫细菌 (Cutibacterium acnes) 是一种阳性无氧杆菌,通常殖民于皮肤和粘膜.
- 虽然它通常与与有关,但它在其他感染中的致病作用不太清楚.
- 冠状动脉旁路移植手术 (CABG) 是一种主要的心脏手术,具有潜在的传染性并发症.
研究的目的:
- 在冠状动脉旁路移植手术后报告一种罕见的性心膜炎,由Cutibacterium acnes引起.
- 突出诊断挑战和成功管理这种不寻常的感染.
主要方法:
- 一名58岁的男性接受了冠状动脉旁路移植 (CABG) 手术.
- 在手术后,患者发烧和缺氧,最初通过胸前心声回声 (TTE) 进行评估.
- 经食道心声学 (TEE) 确定了局部心周输液,该输液被排水和培养.
主要成果:
- 来自心周溢出的液体培养生长了Cutibacterium acnes.
- 患者接受了为期五周的抗生素治疗.
- 患者的病情在抗生素治疗后显著改善.
结论:
- 菌可以是一个机会性病原体,导致严重的术后感染,如性心膜炎.
- 经食道心声学对于诊断深层或局部泄漏而错过的TTE至关重要.
- 早期诊断和适当的抗生素治疗是成功治疗C. acnes心膜炎的关键.
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