原生大动脉内心炎是由Rothia mucilaginosa引起的,最初被误认为是尼塞利亚西卡菌
Tiffany S Liu1, Austin Scro1, Mustafa Awayda1
1Department of Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, NY, USA.
The American journal of case reports
|September 25, 2025
概括
在免疫功能低下的患者中,一种罕见的由Rothia mucilaginosa引起的亚急性传染性内心炎病例强调了在源不明的发烧中考虑非典型生物的重要性.
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) 是一种严重的心脏膜感染,通常是由金黄色葡萄球菌或毒杆菌引起的.
- 非典型的生物,如Rothia物种 (spp. ),也可能导致IE,特别是在假体门患者中.
- 由于Rothia spp. 的原生膜内心炎. 这是不常见的.
研究的目的:
- 报告一个由Rothia mucilaginosa引起的本地大动脉子亚急性内心炎病例.
- 强调非典型病原体在感染性内心炎中所带来的诊断挑战.
- 突出考虑IE在免疫功能低下,发烧原因不明的患者中的重要性.
主要方法:
- 一个中年,免疫力低下的男性患者的病例报告.
- 诊断工作包括体检,血液培养和食管横断心声图.
- 病原体最初被错误地识别为Neisseria sicca,随后被重新识别为Rothia mucilaginosa.
主要成果:
- 患者出现了发烧,咳和头痛的症状,后来被诊断为亚急性传染性内心炎.
- 血液培养最初识别了Neisseria sicca,但后来被重新识别为Rothia mucilaginosa.
- 患者出现并发症,包括内出血和栓塞性心脏病发作,但最终康复了.
结论:
- 罗蒂亚粘膜菌可以引起亚急性传染性内心炎,甚至在本地主动脉上.
- 免疫受损状态和最初的错误识别可能会使IE的诊断复杂化.
- 传染性内心炎应继续成为未知来源的发烧患者的关键差异诊断.
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