一个新兴的威胁:对由双胞胎物种引起的内心炎进行系统审查
Gina N Gonzalez1, Carlos D Franco2, Tanya Sinha3
1Internal Medicine, University College Hospital, Quito, ECU.
Cureus
|May 24, 2024
概括
由Gemella物种引起的传染性内心炎是一个新兴的问题. 这份对52例病例的综述强调了诊断方面的挑战以及早期,多学科管理的必要性,以减少发病率和死亡率.
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:
- *双胞胎物种,细心的阳性菌,越来越多地被认为是导致传染性内心炎的机会性病原体.
- *虽然通常是共生性,但它们在内心炎中的作用是一个新兴的临床实体,需要进一步了解.
研究的目的:
- * 提供由Gemella物种引起的传染性内心炎的综合系统审查.
- *综合现有流行病学,临床表现,诊断,管理和结果的证据.
主要方法:
- * 一项系统的文献搜索发现了52例Gemella物种内心炎病例报告.
- *数据提取集中在致病物种,患者人口统计,临床特征,诊断方式,治疗和结果上.
主要成果:
- *Gemella morbillorum (46.3%) 和Gemella haemolysans (25.9%) 是最常见的物种.
- * 观察到男性占主导的比例很高 (79.6%).
- *诊断延迟是常见的,原因是惰的表现和粗的生长;心声回声仪是至关重要的.
- *抗菌素耐药性和需要手术是重大管理挑战.
结论:
- *双胞胎种内心炎带来了诊断和治疗方面的挑战,通常需要多学科的护理.
- * 早期识别和及时管理对于改善结果和显著降低发病率和死亡率至关重要.
- *需要进一步的研究来解决抗菌素耐药性问题,并优化治疗策略.
关键词:
一个主动脉动脉.超声心电图 (Echocardiography) 是一种心声回声仪.心内膜炎是一种心内膜炎.吉米拉 吉米拉 是一个双胞胎.感染的感染感染.关节的 关节的 关节审查 审查 审查 审查 审查 审查系统性审查 系统性审查三脚是三脚的一种.膜性心脏疾病 膜性心脏疾病更多相关视频
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