表现为细菌性脑膜炎的铜绿假单胞菌感染性心内膜炎。

Pseudomonas aeruginosa infective endocarditis presenting as bacterial meningitis.

作者信息

Venkatesan Arun, Spalding Cassie, Speedie Andrea, Sinha Gita, Rumbaugh Jeffrey A

机构信息

Department of Neurology, Johns Hopkins University, 600 North Wolfe Street, Pathology 509, Baltimore, MD 21287, USA.

出版信息

J Infect. 2005 Nov;51(4):e199-202. doi: 10.1016/j.jinf.2005.02.019.

DOI:10.1016/j.jinf.2005.02.019

PMID:16291269

Abstract

Pseudomonas aeruginosa is a rare cause of infective endocarditis. The case of community-acquired P. aeruginosa infective endocarditis reported here is the first described in the literature to present as bacterial meningitis. Furthermore, new risk factors for P. aeruginosa infective endocarditis, including mitral annular calcification and re-use of insulin syringes, are proposed. Treatment of P. aeruginosa infective endocarditis complicated by bacterial meningitis is discussed.

摘要

铜绿假单胞菌是感染性心内膜炎的罕见病因。本文报道的社区获得性铜绿假单胞菌感染性心内膜炎病例是文献中首次描述的表现为细菌性脑膜炎的病例。此外，还提出了铜绿假单胞菌感染性心内膜炎的新危险因素，包括二尖瓣环钙化和胰岛素注射器重复使用。本文还讨论了合并细菌性脑膜炎的铜绿假单胞菌感染性心内膜炎的治疗方法。