一个不寻常的罪祸首:斯塔菲洛科克斯冠状炎 头皮外科手术后的本地 mitra 内心炎
Silvia Sacramento Azenha1, Bhavna Murugesh1, Bhiramah Rammanohar2
1Department of Infectious Diseases, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, GBR.
Cureus
|November 25, 2025
概括
斯塔菲洛科克斯 (Staphylococcus capitis) 通常是污染物,可以引起严重的侵入性感染,如本地膜内心炎和膜炎. 这一案例凸显了对阳性血液培养的警的必要性,即使在健康的成年人中也是如此.
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:
- 斯塔菲洛科克斯 (Staphylococcus capitis) (S. capitis) 是一种凝血酶阴性斯塔菲洛科克斯 (CoNS) 菌种,通常殖民于皮肤.
- 侵袭性S. capitis感染,特别是本源内心炎 (NVE),在成年人中很少见.
- S. capitis经常被误认为是一种血液培养污染物,延迟了诊断.
研究的目的:
- 报告一种罕见的严重侵入性S. capitis感染病例,该病例发生在免疫能力强的成年人身上.
- 强调S. capitis可能导致本地膜内心炎和椎间盘炎的潜力.
- 突出诊断挑战和抗微生物药物耐药性的变异性.
主要方法:
- 一个先前健康的50多岁男性的病例报告.
- 临床表现:夜间出汗,肌痛,胸部不适,部疼痛,全缩声.
- 诊断工作:多种血液培养,心声学,MRI,敏感性测试.
主要成果:
- 五种血液培养对S. capitis.呈阳性
- 心声扫描显示了大额头膜植被,叶片穿孔和严重的反.
- 磁力共振成像证实了宫椎炎.
- 患者经历了与抗生素相关的并发症,需要更换门和长时间服用抗生素.
结论:
- 在没有并发症的免疫能力强的成年人中,S. capitis可以引起严重的侵入性疾病,包括NVE和脑膜炎.
- 从血液培养物中重复分离S. capitis,这就引起了高度的临床怀疑.
- 快速回声心脏成像对于早期诊断和改善结果至关重要.
- 在S. capitis中,抗菌素耐药性模式可能是可变的,正如在不寻常的克洛西林敏感性中所见的那样.
关键词:
凝结酶阴性葡萄球菌.超声心电图 (Echocardiography) 是一种心声回声仪.感染微生物学 感染微生物学传染性脑膜炎是一种传染性脑膜炎.原生 mitra 膜内心炎 内心炎斯塔菲洛科克斯 (Staphylococcus capitis) 是一种葡萄球菌.更多相关视频
06:59Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
8.7K
07:06Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
4.3K
相关概念视频
01:25Endocarditis I: Introduction
371
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...
371
01:26Mitral Stenosis III: Medical Management
224
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...
224
01:18Endocarditis III: Medical Management
200
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...
200
01:22Mitral Stenosis I: Introduction
420
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
420
01:25Endocarditis II: Clinical Features of Infective Endocarditis
381
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...
381
01:29Endocarditis IV: Nursing Management
305
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...
305