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[毗邻颗粒链菌所致的心内膜炎]

[Endocarditis due to Granulicatella adiacens].

作者信息

Schwede Ilona, Handrick Werner, Henrichs Martin, Linss Günter, Berthold Frank

机构信息

Institut für Medizinische Diagnostik Oderland, Am Kleistpark 1, 15230 Frankfurt an der Oder.

出版信息

Med Klin (Munich). 2007 Jan 15;102(1):56-8. doi: 10.1007/s00063-007-1009-4.

Abstract

CASE REPORT

A prosthetic aortic valve was implanted in a 41-year-old patient with connatal aortic stenosis. 14 months later a bacterial endocarditis was diagnosed and treated with ceftriaxone. 6 weeks later he had a relapse. Satellite streptococci could be cultivated from three blood cultures, later identified as Granulicatella adiacens. The patient was treated with penicillin and gentamicin.

REVIEW OF THE LITERATURE

In a short review of the literature the most important aspects of pathogenesis, diagnostics and therapy of endocarditis due to satellite streptococci are presented.

摘要

病例报告

为一名患有先天性主动脉瓣狭窄的41岁患者植入了人工主动脉瓣。14个月后诊断出细菌性心内膜炎,并使用头孢曲松进行治疗。6周后病情复发。从三次血培养中培养出卫星链球菌,后来鉴定为毗邻颗粒链菌。该患者接受了青霉素和庆大霉素治疗。

文献综述

在对文献的简短综述中,介绍了卫星链球菌引起的心内膜炎发病机制、诊断和治疗的最重要方面。

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