Chu Vivian H, Cabell Christopher H, Abrutyn Elias, Corey G Ralph, Hoen Bruno, Miro Jose M, Olaison Lars, Stryjewski Martin E, Pappas Paul, Anstrom Kevin J, Eykyn Susannah, Habib Gilbert, Benito Natividad, Fowler Vance G
Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA.
Clin Infect Dis. 2004 Nov 15;39(10):1527-30. doi: 10.1086/424878. Epub 2004 Oct 27.
Using a large cohort of patients from the International Collaboration on Endocarditis Merged Database, we compared coagulase-negative staphylococcal (CoNS) native-valve endocarditis (NVE) to NVE caused by more common pathogens. Rates of heart failure and mortality were similar between patients with CoNS NVE and patients with Staphylococcus aureus NVE, but rates for both groups were significantly higher than rates for patients with NVE due to viridans streptococci. These results emphasize the importance of CoNS as a cause of NVE and the potential for serious complications with this infection.
利用国际心内膜炎协作合并数据库中的大量患者队列,我们将凝固酶阴性葡萄球菌(CoNS)所致的自体瓣膜心内膜炎(NVE)与由更常见病原体引起的NVE进行了比较。CoNS NVE患者与金黄色葡萄球菌NVE患者的心力衰竭和死亡率相似,但两组的这些发生率均显著高于由草绿色链球菌引起的NVE患者。这些结果强调了CoNS作为NVE病因的重要性以及这种感染引发严重并发症的可能性。