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由猪红斑丹毒丝菌引起的二尖瓣-主动脉瓣感染性心内膜炎:病例报告及文献复习

Mitro-aortic infective endocarditis produced by Erysipelothrix rhusiopathiae: case report and review of the literature.

作者信息

Nassar Ibrahim M, de la Llana Ramiro, Garrido Pilar, Martinez-Sanz Rafael

机构信息

Department of Cardiovascular Surgery, Hospital Universitario de Canarias, Tenerife, Spain.

出版信息

J Heart Valve Dis. 2005 May;14(3):320-4.

Abstract

Endocarditis produced by Erysipelothrix rhusiopathiae is an uncommon disease in humans. This bacterial species is found worldwide as a commensal or a pathogen in many animals. Infection in humans is usually due to occupational exposure. The case is reported of a 43-year-old male parrot breeder with native aortic and mitral valve endocarditis and NYHA class II heart failure at six months after wound infection. The patient was discharged after six weeks' treatment with intravenous penicillin G and replacement of the mitral and aortic valves due to severe regurgitation. At one year after surgery the patient was asymptomatic and infection-free.

摘要

由猪红斑丹毒丝菌引起的心内膜炎在人类中是一种罕见疾病。这种细菌作为共生菌或病原体在世界各地的许多动物中都有发现。人类感染通常是由于职业暴露。本文报告了一例43岁男性鹦鹉饲养员的病例,其在伤口感染六个月后发生了原发性主动脉和二尖瓣心内膜炎,并伴有纽约心脏协会(NYHA)II级心力衰竭。由于严重反流,患者在接受静脉注射青霉素G治疗六周并置换二尖瓣和主动脉瓣后出院。术后一年,患者无症状且未发生感染。

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