原生膜感染性内心炎是由黄金葡萄球菌和蒙特利菌的双重感染引起的:一个病例报告
Awais S Butt1, Anees S Butt2, Nikhil Patel3
1Cardiology, Luton and Dunstable University Hospital, Luton, GBR.
Cureus
|December 23, 2025
概括
本案例研究记录了第一个由黄金葡萄球菌和山寨菌引起的本地膜感染性内心炎的实例. 它强调了在诊断心脏感染时考虑不寻常的病原体的重要性.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 传染性内心炎 (IE) 通常是由格拉姆阳性细菌引起的,格拉姆阴性感染较少见.
- 环境生物体Pseudomonas monteilii很少涉及人类感染,通常被视为污染.
- 原生IE通常涉及常见的病原体,使得罕见的多微生物病例在诊断上具有挑战性.
研究的目的:
- 报告第一个被记录的本地感染性内心炎 (IE) 病例,该病例是由黄金葡萄球菌 (Staphylococcus aureus) 和山形虫 (Pseudomonas monteilii) 的双重感染引起的.
- 突出IE中不常见的微生物所带来的诊断困难.
- 强调需要整合临床,成像和微生物学数据来进行准确的诊断.
主要方法:
- 一份病例报告显示,一名30岁的男性患者出现了暗示IE的症状.
- 心声学可视化心脏结构并识别植被.
- 血液和唾液培养物用于识别致病微生物.
主要成果:
- 心声扫描显示了6-8mm的中心植被.
- 血液培养物确定了金黄色葡萄球菌.
- 唾液培养物鉴定出了Pseudomonas monteilii.
- 这代表了第一个报告的本地门IE病例,涉及S. aureus和P. monteilii.
结论:
- 这种罕见的病例扩大了已知的传染性内心炎的微生物谱.
- 诊断挑战来自异型生物体的生长,需要高度的怀疑指数.
- 早期成像,重复调查和多学科合作对于复杂的IE病例的良好结果至关重要.
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