Schwede Ilona, Handrick Werner, Henrichs Martin, Linss Günter, Berthold Frank
Institut für Medizinische Diagnostik Oderland, Am Kleistpark 1, 15230 Frankfurt an der Oder.
Med Klin (Munich). 2007 Jan 15;102(1):56-8. doi: 10.1007/s00063-007-1009-4.
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.
In a short review of the literature the most important aspects of pathogenesis, diagnostics and therapy of endocarditis due to satellite streptococci are presented.
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。
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。