Evans Morgan, Yazdani Farah, Malnick Henry, Shah Jayesh J, Turner David P J
Department of Clinical Microbiology, Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham NG7 2UH, UK.
Laboratory of HealthCare Associated Infection, Centre for Infections, Health Protection Agency, Colindale, London, UK.
J Med Microbiol. 2007 Jun;56(Pt 6):860-862. doi: 10.1099/jmm.0.47155-0.
A case is reported of prosthetic valve endocarditis due to Neisseria elongata subsp. elongata in a patient with Klinefelter's syndrome. This is believed to be only the third case of endocarditis reported due to this subspecies. N. elongata is difficult to identify, and is morphologically and biochemically similar to Kingella spp. Sequencing of the 16S rRNA gene is useful for identification. The patient was successfully treated with amoxicillin and gentamicin, followed by ceftriaxone.
报告了1例患有克兰费尔特综合征的患者因长奈瑟菌长亚种导致人工瓣膜心内膜炎的病例。据信这仅是该亚种所致心内膜炎报告的第三例。长奈瑟菌难以鉴定,在形态学和生物化学上与金氏菌属相似。16S rRNA基因测序有助于鉴定。该患者先用阿莫西林和庆大霉素治疗,随后用头孢曲松治疗,获得成功。