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一个摇动的生物假体门:Cutibacterium acnes假体门内心炎
Edward Dababneh1, Sylvio Carvalho Junior Provenzano2, Matthew S Yong2
1Department of Cardiology, Division of Specialist Medical Services, Gold Coast Hospital and Health Services, Southport, Australia.
Hospital practice (1995)
|February 5, 2026
概括
昆虫细菌 (Cutibacterium acnes) 假内心炎 (PVE) 的诊断具有挑战性. 早期的PET/CT成像和考虑低毒性病原体对于及时干预和预防门损伤至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 由Cutibacterium acnes引起的假内心炎 (PVE) 由于生长缓慢和微妙的症状,存在诊断挑战.
- 推迟诊断PVE可能会导致严重的并发症,如门脱和破坏.
研究的目的:
- 报告一个由C. acnes引起的PVE具有挑战性的病例.
- 强调先进成像的实用性和在PVE诊断中考虑低毒性病原体.
主要方法:
- 一个57岁的男性病例研究,有前史发生大动脉置换和长期症状.
- 使用过胸腔心声学,过食道心声学,PET/CT扫描和血液培养来进行诊断.
- 在重复大动脉根和门置换手术期间在手术内确认感染.
主要成果:
- 最初的诊断测试对PVE没有确定性.
- 定子发射断层扫描/计算机断层扫描 (PET/CT) 显示了生物假体门周围显著的FDG吸收.
- 血液培养物最终生长了C. acnes,手术内培养物证实了感染,揭示了严重的膜反和几乎完全的膜脱落.
结论:
- 应考虑在患有惰PVE症状和负初始培养的患者中使用Cutibacterium acnes.
- 当传统方法失败时,PET/CT成像是诊断PVE的宝贵工具.
- 及时诊断和治疗C. acnes PVE对于预防灾难性的门并发症至关重要.
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