Peetermans W E, De Man F, Moerman P, van de Werf F
Department of Internal Medicine, University Hospital, Leuven, Belgium.
J Infect. 2000 Sep;41(2):180-2. doi: 10.1053/jinf.2000.0699.
Campylobacter fetus subspecies fetus has a predilection for vascular endothelium. This report describes a case of a prosthetic valve infective endocarditis due to this microorganism. Despite adequate antibiotic combination treatment, valvular vegetations and perivalvular suppurative complications evolved, leading to valvular dysfunction, heart failure and death. Only three other cases of C. fetus prosthetic valve endocarditis have been described previously. Campylobacter fetus bacteraemia must be considered cautiously, because of the risk of late cardiac or vascular complications.
胎儿弯曲菌胎儿亚种易侵袭血管内皮。本报告描述了一例由该微生物引起的人工瓣膜感染性心内膜炎病例。尽管采用了充分的联合抗生素治疗，但瓣膜赘生物和瓣周化脓性并发症仍不断发展，导致瓣膜功能障碍、心力衰竭和死亡。此前仅另有三例胎儿弯曲菌人工瓣膜心内膜炎的病例报道。鉴于存在发生晚期心脏或血管并发症的风险，必须谨慎考虑胎儿弯曲菌菌血症。
