Houghton T, Kaye G C, Meigh R E
Department Of Cardiology, Castle Hill Hospital, Castle Road, East Yorkshire HU16 5JQ, UK.
Postgrad Med J. 2002 May;78(919):290-1. doi: 10.1136/pmj.78.919.290.
A rare case of Corynebacterium striatum endocarditis on a bioprosthetic aortic valve replacement, treated medically, is reported. The presentation was subacute, and initially endocarditis screening was negative. Because of the failure of symptoms to settle further screening was performed which confirmed the organism in several sets of blood cultures. This emphasises the importance of persistent screening for endocarditis if the history raises any suspicion of this potentially serious infection, especially in the presence of prosthetic valves.
本文报告了一例罕见的纹带棒状杆菌心内膜炎病例,该患者接受生物人工主动脉瓣置换术后,采用药物治疗。临床表现为亚急性,最初的心内膜炎筛查为阴性。由于症状未缓解,进一步进行了筛查,在多组血培养中确认了该病原体。这强调了如果病史引发对这种潜在严重感染的任何怀疑,尤其是存在人工瓣膜时,持续筛查心内膜炎的重要性。