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人工主动脉瓣丙酸杆菌性心内膜炎

Propionibacterium acnes endocarditis of a prosthetic aortic valve.

作者信息

List Richard J, Sheikh Nabeel, Theologou Thomas, Mitchell Ian M, Mathew Thomas

机构信息

Cardiology Department, Nottingham City Hospital, Trent Cardiac Centre, Nottingham, UK.

出版信息

Clin Cardiol. 2009 Aug;32(8):E46-7. doi: 10.1002/clc.20492.

DOI:10.1002/clc.20492
PMID:19455672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6653162/
Abstract

In the few reported cases of Propionibacterium infective endocarditis involving prosthetic aortic valves, abscess is common and frequently requires surgery. We report a case of P. acnes infective endocarditis identified on prolonged blood cultures with aortic root abscess involving a Starr-Edwards valve. Intravenous antibiotics and valve replacement led to recovery.

摘要

在少数已报道的累及人工主动脉瓣的丙酸杆菌感染性心内膜炎病例中，脓肿很常见且常常需要手术治疗。我们报告一例通过长时间血培养确诊的痤疮丙酸杆菌感染性心内膜炎病例，该病例伴有主动脉根部脓肿，累及斯塔尔-爱德华兹瓣膜。静脉使用抗生素及瓣膜置换术使患者康复。

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BMC Infect Dis. 2016 Apr 29;16:185. doi: 10.1186/s12879-016-1522-2.
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Propionibacterium acnes prosthetic valve endocarditis with abscess formation: a case report.痤疮丙酸杆菌所致人工瓣膜心内膜炎伴脓肿形成：一例报告
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本文引用的文献

1
Propionibacterium acnes: a rare cause of late prosthetic valve endocarditis and aortic root abscess.痤疮丙酸杆菌：人工瓣膜心内膜炎晚期及主动脉根部脓肿的罕见病因。
Int J Cardiol. 2008 Nov 12;130(2):e66-8. doi: 10.1016/j.ijcard.2007.11.062. Epub 2008 Jan 15.
2
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Propionibacterium acnes as a cause of prosthetic valve aortic root abscess.痤疮丙酸杆菌作为人工瓣膜主动脉根部脓肿的病因。
J Clin Microbiol. 2007 Jan;45(1):259-61. doi: 10.1128/JCM.01598-06. Epub 2006 Oct 25.
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Endocarditis caused by Propionibacterium species: a report of three cases and a review of clinical features and diagnostic difficulties.丙酸杆菌属引起的心内膜炎：三例报告及临床特征与诊断难点综述
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J Infect. 2005 Nov;51(4):e229-31. doi: 10.1016/j.jinf.2005.02.006.
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Images in cardiology: mycotic aneurysm formation with dehiscence of a valved aortic conduit resulting in dynamic aortic obstruction.心脏病学影像：带瓣主动脉管道裂开导致霉菌性动脉瘤形成并造成动态主动脉梗阻。
Heart. 2000 Sep;84(3):271. doi: 10.1136/heart.84.3.271.
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[Propionibacterium acnes infectious endocarditis].痤疮丙酸杆菌感染性心内膜炎
Presse Med. 1998 Nov 21;27(36):1839-41.
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Endocarditis due to Propionibacterium granulosum.颗粒丙酸杆菌引起的心内膜炎。
Clin Infect Dis. 1996 Nov;23(5):1178-9. doi: 10.1093/clinids/23.5.1178.
10
Failure of Gram stain to detect Propionibacterium acnes in specimens from clinically significant infections.革兰氏染色未能在具有临床意义的感染标本中检测到痤疮丙酸杆菌。
J Clin Microbiol. 1996 Aug;34(8):2051. doi: 10.1128/jcm.34.8.2051-2051.1996.