慢性传染性内心炎与葡萄球菌表皮炎有关 节律器感染 :一个病例报告
Osama S Abdalla1, Ghada Idris1, Darshani Ekanayake2
1Acute Medicine, Shrewsbury and Telford NHS Trust, Telford, GBR.
Cureus
|January 13, 2026
概括
心脏起器感染,如由Staphylococcus epidermidis引起的传染性内心炎,在植入后很长时间就会发生. 早期怀疑和诊断对于有效的管理和患者康复至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗设备感染 医疗设备感染
背景情况:
- 与心脏起器相关的传染性内心炎是具有挑战性的诊断,由于微妙的表现和难以获得积极的培养.
- 在心脏起器植入后的几个月或几年内,感染可能会出现,这使得诊断复杂化.
研究的目的:
- 为了呈现一种由凝血酶阴性Staphylococcus epidermidis引起的晚期呈现的起器内心炎的病例.
- 突出这一罕见疾病的诊断挑战和管理策略.
主要方法:
- 一个病例报告,一名患者在心脏起器植入后患有长期发烧和寒.
- 诊断工作包括血液培养,CT扫描,胸前心声学 (TTE) 和食道间心声学 (TOE).
主要成果:
- 最初的调查结果不确切,血液培养结果为阴性,TTE正常.
- 停用抗生素导致对凝结酶阴性Staphylococcus epidermidis的阳性血液培养.
- TOE检测显示了心脏起器上的植被,证实了心脏起器内心炎.
结论:
- 凝聚酶阴性斯塔菲洛科克 (Staphylococcus epidermidis) 可能在植入后很长一段时间就会导致惰的心脏起器感染.
- 在患有长期发烧的患者中诊断心脏起器感染性内心炎时,需要高的怀疑指数.
- 及时诊断和管理,包括设备移除和抗生素,对于有利的结果至关重要.
相关概念视频
01:25Endocarditis I: Introduction
382
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...
382
01:25Endocarditis II: Clinical Features of Infective Endocarditis
405
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...
405
01:18Endocarditis III: Medical Management
207
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...
207
01:29Endocarditis IV: Nursing Management
314
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...
314
01:23Rheumatic Heart Disease I: Introduction
422
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
422
01:22Mitral Stenosis I: Introduction
435
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...
435