在肝移植患者的Candida parapsilosis内心炎中
Sibel Dogan Kaya1, Aysu Türkmen Karaağaç2
1Department of Infectious Diseases and Clinical Microbiology University of Health Sciences, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Turkey.
The National medical journal of India
|June 30, 2025
概括
性内心炎虽然很少见,但会带来严重的并发症. 这一案例突显了肝移植患者的Candida parapsilosis,强调了需要及时进行抗真菌治疗的必要性.
科学领域:
- 心血管外科心血管外科
- 传染性疾病 传染性疾病
- 菌类学 菌类学是指菌类学.
背景情况:
- 传染性内心炎 (IE) 携带高发病率和死亡率.
- 性内心炎是一种罕见但严重的IE并发症.
- 坎迪达 (Candida parapsilosis) 是一种重要的非白类物种,会引起真菌内心炎.
研究的目的:
- 报告一个罕见的真菌内心炎病例,发生在一个有肝移植和心脏手术史的儿科患者身上.
- 要突出诊断和管理由Candida parapsilosis引起的真菌内心炎的挑战.
主要方法:
- 一个17岁的肝移植接受者呈现右心衰竭的病例报告.
- 临床评估,包括体检和心脏声的听觉检查.
- 根据敏感性测试,开始使用安福特里辛B的抗真菌疗法.
主要成果:
- 患者出现了右心力衰竭,发烧,虚弱,恶心和吐的症状.
- 身体检查显示,脸色白,呼吸不全,心力衰竭和静脉抽喷射声.
- 开始使用安福特里辛B的抗真菌治疗.
结论:
- 性内心炎,特别是由非白类的Candida物种引起的,需要谨慎的诊断和管理.
- 早期启动适当的抗真菌治疗对于改善高风险患者的治疗结果至关重要.
- 这一案例强调了在患有心脏并发症的免疫受损患者中考虑真菌感染的重要性.
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