由Listeria引起的传染性内心炎物种-A系统性审查
Despoina Kypraiou1, Maria Konstantaraki1, Andreas G Tsantes2
1School of Medicine, University of Crete, 71003 Heraklion, Greece.
Journal of clinical medicine
|October 16, 2024
概括
由Listeria monocytogenes引起的传染性内心炎很少见,但很严重,通常会影响带有假的老年人. 尽管有治疗方法,但死亡率仍然很高.
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:
- 传染性内心炎 (IE) 是一种严重的疾病,死亡率高.
- 虽然通常是由格兰阳性菌引起的,但像Listeria monocytogenes这样的格兰阳性细菌可以引起IE,尽管很少.
- 李斯特菌 (Listeria monocytogenes) 是一种机会性病原体,通常与食物传播疾病有关.
研究的目的:
- 系统地审查和描述由Listeria monocytogenes引起的传染性内心炎病例.
- 整合现有的关于李斯特菌IE流行病学,临床表现,治疗和结果的数据.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆的系统文献搜索.
- 包括54项研究,其中包括62名被诊断患有李斯特菌IE的患者的数据.
- 对流行病学,临床,治疗和结果数据的分析.
主要成果:
- 该研究包括62名患者,主要是男性 (64.5%),平均年龄为69岁.
- 人造门病史 (54.8%) 是常见的,主动脉最常受到影响.
- 常见的症状包括发烧,心力衰竭和栓塞现象;死亡率为37.1%.
结论:
- 李斯特菌 (Listeria monocytogenes IE) 是一种罕见但显著的疾病,主要影响具有假体门的老年人.
- 虽然抗菌素耐药性很低,但死亡率仍然很高.
- 在多变量分析中,没有单一因素独立预测总死亡率.
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