带有假和植入式电子设备的Enterococcus durans内心炎和文献综述
1Department of Infectious Diseases and Clinical Microbiology, Ministry of Health Sivas Numune Hospital, Sivas, Türkiye.
Diagnostic microbiology and infectious disease
|June 17, 2025
概括
肠球菌是感染性内心炎的一个罕见原因. 这一案例突显了心脏植入式电子设备 (CIED) 患者在抗生素治疗中取得的成功.
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:
- 传染性内心炎是一种严重的心脏膜感染.
- 肠杆菌是极为罕见的内心炎的原因,报告的病例很少.
- 心脏植入式电子设备 (CIED) 可能与内心炎有关.
研究的目的:
- 报告一个由Enterococcus durans引起的传染性内心炎病例.
- 讨论这种罕见感染的管理和结果.
- 强调在特定患者群体中考虑Enterococcus durans的重要性.
主要方法:
- 一个48岁的男性患者的病例报告.
- 临床表现包括症状和病史 (高血压,扩张性心肌病,先前的大动脉置换,CIED).
- 诊断方法:胸外心声学,血液培养.
主要成果:
- 一个10毫米的移动植被通过心声识别在大动脉上被确定.
- 血液培养物证实Enterococcus durans对安培西林和 gentamicin 敏感.
- 患者患有败血栓塞,但在6周的安皮西林和仁素疗程中得到了成功治疗.
结论:
- 肠球菌 (Enterococcus durans) 是传染性内心炎中非常罕见的病原体.
- 风险因素,自然病史和对E. durans内心炎的治疗反应尚未确定.
- 由于潜在的高死亡率,应考虑在生物假体门和CIED患者中考虑这种病原体.
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