三重威胁:三重病原体内心炎
Jessica M Gonzalez1, Gabriel Lowenhaar2, Moti Ramgopal3
1Department of Internal Medicine, Brown University, Providence, USA.
Cureus
|November 29, 2023
概括
本病例报告详细介绍了一种罕见的多微生物内心炎,这种内心炎是由Streptococcus anginosus,Gemella hemolysans和Pseudomonas aeruginosa引起的,这种病例发生在一个有注射药物使用史的患者身上. 需要紧急手术进行门置换和心脏起器植入.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 多微生物内心炎不常见,通常与危险因素有关,包括糖尿病,结构性心脏病和静脉药物使用.
- 该案涉及一名30岁的女性,她患有慢性C型肝炎,有静脉注射药物使用史,表现出暗示内心炎的症状.
研究的目的:
- 报告一个独特的多微生物内心炎病例,涉及Streptococcus anginosus,Gemella hemolysans和Pseudomonas aeruginosa.
- 突出这一罕见感染的临床表现,管理和结果.
主要方法:
- 病例报告详细介绍了临床表现,诊断工作,包括血液培养和心声回声.
- 描述患者复杂的临床过程,包括完全的心脏阻塞和败血性肺栓塞.
- 涉及三管置换和心脏起器植入的手术干预.
主要成果:
- 血液培养物鉴定出了Streptococcus anginosus,Gemella hemolysans,以及Pseudomonas aeruginosa. 这些细菌的分类是:
- 胸外心声图显示了三管的大型植被和严重的三管吐.
- 患者需要紧急手术,手术后心脏功能有所改善.
结论:
- 这是第一个报告的多微生物内心炎病例,由G. hemolysans,S. anginosus和P. aeruginosa的特定组合引起.
- 这一案例强调了在多微生物内心炎中需要及时诊断和积极的治疗,通常是手术.
- 对于由这些单独的生物体引起的内心炎,人们注意到高的手术干预率.
关键词:
双胞胎血红溶液是什么意思传染性内心炎是一种感染性内心炎.多微生物内分泌心脏炎.假名气球菌 (Pseudomonas aeruginosa) (P. 气球菌) 是一种病毒.这是一种Streptococcus anginosus群.更多相关视频
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