Salvana Edsel Maurice T, Frank Michael
Department of Medicine, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226, USA.
J Infect. 2006 Jul;53(1):e5-e10. doi: 10.1016/j.jinf.2005.10.005. Epub 2005 Nov 22.
Lactobacillus is a rare cause of endocarditis with only 78 reported cases in the literature. We report a case of Lactobacillus endocarditis and review reported adult cases since the introduction of the Duke's criteria for endocarditis. An analysis is presented with a focus on outcomes. Mortality from reported cases of Lactobacillus endocarditis was found to have substantially improved since 1992. Surgical rates for persistent disease remain the same. Possible reasons for this improvement include better antibiotics, earlier recognition of cases, and more aggressive treatment regimens.
乳酸杆菌是心内膜炎的罕见病因，文献中仅报道了78例。我们报告一例乳酸杆菌性心内膜炎病例，并回顾自引入杜克心内膜炎诊断标准以来报道的成人病例。本文重点分析了预后情况。结果发现，自1992年以来，报道的乳酸杆菌性心内膜炎病例的死亡率已大幅改善。持续性疾病的手术率保持不变。这种改善的可能原因包括更好的抗生素、病例的早期识别以及更积极的治疗方案。
