由菌引起的感染性内心炎 种类A系统性审查
Petros Ioannou1, Eleni Mourati1, Styliani Thalasseli Kazali1
1School of Medicine, University of Crete, 71003 Heraklion, Greece.
Pathogens (Basel, Switzerland)
|August 28, 2025
概括
由Fusobacterium物种引起的传染性内心炎 (IE) 主要影响年轻男性,通常与口腔健康问题有关. 虽然与并发症有关,但Fusobacterium IE的死亡率可能低于其他IE病原体.
科学领域:
- 传染性疾病
- 心脏病学
- 微生物学
背景情况:
- 菌种是常见的口腔和肠道菌群,但可以引起严重的感染性内心炎 (IE).
- 关于Fusobacterium IE的临床数据,包括治疗和结果,是有限的.
- 本综述综合了关于Fusobacterium IE的当前知识,并将其与其他原因的IE进行比较.
研究的目的:
- 系统地审查和分析由Fusobacterium物种引起的传染性内心炎的临床特征,易感因素和结果.
- 将Fusobacterium IE与其他病原体引起的IE进行比较.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆进行了系统的文献搜索.
- 研究包括成人或儿科患者的病例报告或系列与Fusobacterium相关的IE.
- 提取的数据包括人口统计,风险因素,临床表现,微生物学,治疗和结果.
主要成果:
- 分析了21名患者的21份病例报告.
- 平均年龄为48岁,男性占85.7%;牙卫生不良是常见的倾向因素.
- 发烧,败血症和栓塞现象是常见的; F. necrophorum 和 F. nucleatum 是最常见的物种.
- 死亡率为9. 5%,而 23. 8% 的病例需要手术治疗.
结论:
- Fusobacterium IE通常影响年轻男性,并与口服来源和显著的全身并发症有关.
- 尽管存在并发症,但与其他病原体的IE相比,Fusobacterium IE的死亡率可能更低.
- 早期诊断和及时的抗菌治疗对于治疗这种罕见但严重的感染至关重要.
相关概念视频
01:25Endocarditis I: Introduction
26
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
26
01:25Endocarditis II: Clinical Features of Infective Endocarditis
25
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
25
01:18Endocarditis III: Medical Management
17
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
17
01:29Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27
01:26Mitral Stenosis III: Medical Management
21
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
21
01:26Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K